Objectives- The aim of this study was a prospective evaluation to determine the relative risks and complications of pediatric diagnostic and interventional catheterizations.
Background- The role of the pediatric catheterization laboratory has evolved in the last decade as a therapeutic modality, although remaining an important tool for anatomic and hemodynamic diagnosis.
Methods- A study of 480 consecutive pediatric catheterization procedures was undertaken prospectively during 6 months, from October 2001 to March 2002. Results- Patient ages ranged from 4 days to 17 years (mean 4.5 years). Forty six complications occurred (9.58% of all cases) and were classified as major complications in 6 patients, (1.25% of all cases) and minor complications in 40 patients. (8.33% of all cases)Arrhythmia (n=15) and vascular complications (n=10) were the most common adverse events respectively. Death occurred in 2 patients (0.41 %).
Conclusions- The results are acceptable at our center, but efforts should be directed to improving equipment for flexibility and size and improving techniques for decreasing the mortality and morbidity rates (Iranian Heart Journal 2002, 2003; 3(4)&4(1): 29-33).