Outcome of cardiac catheterization performed in the early postoperative
period after congenital heart surgery: single center experience
Abstract
Objective: The Main objective of the study was to evaluate the outcome
of cardiac catheterization performed in the early postoperative period
after congenital heart surgery. Background: Cardiac catheterization
after congenital heart surgery may play an important role in the
diagnosis and management of patients with complicated or unusual
unexplained post-operative course. Methods: All patients underwent
cardiac catheterization < 5 weeks after congenital heart
surgery from November 2015 to May 2018 in pediatric cardiac center of
King Abdul-Aziz University Hospital (KAUH) were included in the study.
Results: Thirty procedures were performed for 27 patients (20
interventional and 10 diagnostic). The median age of the patients was 15
months (15 days to 20 years), weight 8.2 kg (3.4 to 53 kg), and time
from surgery was 3 days (0-32 days). Eleven procedures performed for 11
patients on extracorporeal membrane oxygenation (ECMO). The main
indications for catheterization were inability to wean from ECMO (10
procedures) and cyanosis (10 procedures). Interventional procedures
were: Angioplasty using stents (10 procedures, success 90%),
angioplasty using only balloons (2 procedures, success 50%), and
occlusion for residual shunts (8 procedures, success 100%). No
mortality was recorded during procedure. Procedural complications were
recorded in 3 procedures. Survival among patients was 51.8%. There was
no significant difference between interventional and diagnostic group
regarding procedural complications. Patient on ECMO support had higher
mortality than other patients. Conclusion: Cardiac catheterization could
be performed safely in the early postoperative period; it could affect
the outcome that is mostly dependent on complexity of cardiac lesions.