Iranian Heart Journal

Iranian Heart Journal

Registry Study of Patients Who Needed Emergent Surgery due to Complications of Cardiac Catheterization in Rajaie Heart Center Between 2005 and 2015

Authors
Gholamreza Safarpoor 1
Farzad Emami 2
Amir Shams 3
Sheida Keshavari 4
Aliasghar Moeinipour 4
Babak Manafi 1
Mohsen Maadani 5
Mohammadesmaeil Zanganehfar 6
Nasim Naderi 6
Ali Daryanavard 6
Reza Ravanparsa 6
Sajad Nader 6
Ehsan Ghorchooian 6
Mohammad Ameni 6
1 Department of Cardiac Surgery, Faculty of Medical Sciences,Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, IR Iran.
2 Department ofCardiology, Faculty of Medical Sciences,Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, IR Iran.
3 Department of Cardiac Surgery, Faculty of Medical Sciences,Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, IR Iran
4 Department of Cardiac Surgery, Faculty of Medical Sciences, Mashhad University of MedicalSciences, Mashhad, IR Iran.
5 Cardiovascular InterventionResearch Center, Rajaie Cardiovascular, Medical, and Research Center, Iran University ofMedical Sciences, Tehran, IR Iran
6 Rajaie Cardiovascular, Medical, and Research Center, Iran University ofMedical Sciences, Tehran, IR Iran.
Abstract
Background: Coronary artery disease is the leading cause of death in most societies today. One of the most important diagnostic and therapeutic methods used in this field is cardiac catheterization. This procedure is, however, invasive and can lead to cardiac complications, vascular complications, and even death. Methods: In this study, we reviewed the characteristics of adolescent patients who needed emergent surgery due to catheterization complications between 2005 and 2015 at Rajaie Cardiovascular, Medical, and Research Center, Tehran, Iran. This study was done descriptively. Of 1028 patients transferred to the operating room in the first 24 hours after catheterization, a total of 36 patients needed emergent surgery due to catheterization complications. The data of these patients were extracted the archives and analyzed using the SPSS software. Results: Acute mitral valve regurgitation post percutaneous transmitral commissurotomy occurred in 8 (22%) patients, vascular rupture and retroperitoneal hematoma in 8 (22%), rupture of the cardiac chambers and tamponade in 5 (14%), coronary artery dissection in 4 (11%), vascular access thrombosis in 3 (8%), vascular access dissection in 3 (8%), embolization and malposition of the Amplatzer device in 2 (6%), clot formation on the Amplatzer device in 1 (3%), cardiac arrest in 1 (3%), and vascular sheath fracture in 1 (3%). Of the 36 patients, 6 died. Conclusions: A comparison of the incidence rates of post-cardiac catheterization complications leading to emergent surgery between our center and other similar centers shows no significant difference. (Iranian heart Journal 2018; 19(3): 60- 63)
Keywords
Cardiac catheterization
Complication
Emergent surgery
Iranian Heart Journal
Volume 19, Issue 3
Summer 2018
Pages 60-63