Hostname: page-component-84b7d79bbc-x5cpj Total loading time: 0 Render date: 2024-07-28T06:41:48.798Z Has data issue: false hasContentIssue false
  • English
  • Français

Cardiac catheterisation in infants weighing less than 2500 grams

Published online by Cambridge University Press:  28 May 2019

Mansour Mostefa-Kara ,
Olivier Villemain ,
Isabelle Szezepanski  and
Younes Boudjemline
Mansour Mostefa-Kara
Affiliation:
Centre de Référence Malformations Cardiaques Congénitales Complexes – M3C, Hôpital Necker Enfants Malades, Assistance Publique des Hôpitaux de Paris, Paris, France
Olivier Villemain
Affiliation:
Centre de Référence Malformations Cardiaques Congénitales Complexes – M3C, Hôpital Necker Enfants Malades, Assistance Publique des Hôpitaux de Paris, Paris, France Université Paris Descartes, Sorbonne Paris Cité, Paris, France
Isabelle Szezepanski
Affiliation:
Centre de Référence Malformations Cardiaques Congénitales Complexes – M3C, Hôpital Necker Enfants Malades, Assistance Publique des Hôpitaux de Paris, Paris, France
Younes Boudjemline*
Affiliation:
Sidra Medicine, Heart Center, Doha, Qatar
*
Author for correspondence: Prof. Younes Boudjemline, Sidra Medicine, Heart Center, Director of Cardiac Catheterization Laboratories, Doha, Qatar. Tel/Fax: +974 4003 16 23; E-mail: yboudjemline@yahoo.fr
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

The aim of the study was to report the outcome of cardiac catheterisation in low-weight patients.

Background:

Data regarding cardiac catheterisation in infants weighing <2500 g are scarce.

Methods:

We reviewed all cardiac catheterisations performed in infants weighing <2500 g between January 2000 and May 2016. An analysis with respect to the type of procedure, the complexity of procedure (procedure type risk), and haemodynamic vulnerability index was finally carried out. We report the occurrence of deaths and complications using the adverse event severity score.

Results:

A total of 218 procedures were performed on 211 patients. The mean age and weight were, respectively, 15 ± 26 days (range, 0–152) and 2111 ± 338 g (range, 1000–2500). Procedures were interventional and diagnostic, respectively, in 174 (80%) and 44 (20%) patients. Out of 218, 205 (94%) were successful. Eleven complications (5%) occurred – six with an adverse event severity score of 4 and five with an adverse event severity score of 3. Ten patients (91%) showed a favourable outcome, and one died (stent thrombosis few hours after patent ductus arteriosus stenting). No correlation was found between lower weight and occurrence of death (p = 0.68) or complications (p = 0.23). The gravity scores (procedure type risk and haemodynamic vulnerability index) were not predictive of complications.

Conclusions:

Cardiac catheterisation in infants weighing <2500 g appears feasible and effective with low risk. The weight should not discourage from performing cardiac catheterisation in this population.

Keywords

Cardiac catheterisationlow weightpremature baby
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 5 , May 2019 , pp. 689 - 694
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Rosenthal, GL, Wilson, PD, Permutt, T, Boughman, JA, Ferencz, C. Birth weight and cardiovascular malformations: a population-based study. The Baltimore-Washington Infant Study. Am J Epidemiol 1991; 133: 1273–1281.CrossRefGoogle Scholar
Petrossian, RA, Kuehl, KS, Loffredo, CA. Relationship of birth weight with congenital cardiovascular malformations in a population-based study. Cardiol Young 2015; 25: 1086–1092.CrossRefGoogle ScholarPubMed
Kramer, HH, Trampisch, HJ, Rammos, S, Giese, A. Birth weight of children with congenital heart disease. Eur J Pediatr 1990; 149: 752–757.CrossRefGoogle ScholarPubMed
MacDorman, MF, Mathews, TJ. The challenge of infant mortality: have we reached a plateau? Public Health Rep 2009; 124: 670–681.CrossRefGoogle ScholarPubMed
Cheng, HH, Almodovar, MC, Laussen, PC, et al. Outcomes and risk factors for mortality in premature neonates with critical congenital heart disease. Pediatr Cardiol 2011;32:1139–1146.CrossRefGoogle ScholarPubMed
McMahon, CJ, Price, JF, Salerno, JC, et al. Cardiac catheterisation in infants weighing less than 2500 grams. Cardiol Young 2003; 13: 117–122.CrossRefGoogle ScholarPubMed
Simpson, JM, Moore, P, Teitel, DF. Cardiac catheterization of low birth weight infants. Am J Cardiol 2001; 87: 1372–1377.CrossRefGoogle ScholarPubMed
Rhodes, JF, Asnes, JD, Blaufox, AD, Sommer, RJ. Impact of low body weight on frequency of pediatric cardiac catheterization complications. Am J Cardiol 2000; 86: 1275–1278.CrossRefGoogle ScholarPubMed
Bergersen, L, Giroud, JM, Jacobs, JP, et al. Report from The International Society for Nomenclature of Paediatric and Congenital Heart Disease: cardiovascular catheterisation for congenital and paediatric cardiac disease (Part 2 – Nomenclature of complications associated with interventional cardiology). Cardiol Young 2011; 21: 260–265.CrossRefGoogle Scholar
Bergersen, L, Gauvreau, K, Marshall, A, et al. Procedure-type risk categories for pediatric and congenital cardiac catheterization. Circ Cardiovasc Interv 2011; 4: 188–194.CrossRefGoogle ScholarPubMed
Bergersen, L, Gauvreau, K, Foerster, SR, et al. Catheterization for Congenital Heart Disease Adjustment for Risk Method (CHARM). JACC Cardiovasc Interv 2011; 4: 1037–1046.CrossRefGoogle Scholar
Learn, CP, Holzer, RJ, Daniels, CJ, et al. Adverse events rates and risk factors in adults undergoing cardiac catheterization at pediatric hospitals – results from the C3PO. Catheter Cardiovasc Interv 2013; 81: 997–1005.CrossRefGoogle ScholarPubMed
Kobayashi, D, Sallaam, S, Aggarwal, S, et al. Catheterization-based intervention in low birth weight infants less than 2.5 kg with acute and long-term outcome. Catheter Cardiovasc Interv 2013; 82: 802–810.CrossRefGoogle ScholarPubMed
Backes, CH, Cua, C, Kreutzer, J, et al. Low weight as an independent risk factor for adverse events during cardiac catheterization of infants. Catheter Cardiovasc Interv 2013; 82: 786–794.CrossRefGoogle ScholarPubMed
Cassidy, SC, Schmidt, KG, Van Hare, GF, Stanger, P, Teitel, DF. Complications of pediatric cardiac catheterization: a 3-year study. J Am Coll Cardiol 1992; 19: 1285–1293.CrossRefGoogle ScholarPubMed
Vitiello, R, McCrindle, BW, Nykanen, D, Freedom, RM, Benson, LN. Complications associated with pediatric cardiac catheterization. J Am Coll Cardiol 1998; 32: 1433–1440.CrossRefGoogle ScholarPubMed
Zeevi, B, Berant, M, Fogelman, R, Galit, BM, Blieden, LC. Acute complications in the current era of therapeutic cardiac catheterization for congenital heart disease. Cardiol Young 1999; 9: 266–272.CrossRefGoogle ScholarPubMed
Zepeda-Arambula, A, Gutierrez-Cobian, L, Villatoro-Fernandez, JL, Pacheco-Lopez, SL, Tlacuilo-Parra, A. Adverse events during diagnostic and therapeutic pediatric cardiac catheterization. Rev Med Inst Mex Seguro Soc 2016; 54: S276–S283.Google ScholarPubMed
Khoshnood, B, Greenlees, R, Loane, M, Dolk, H, Committee EPM, Group EW. Paper 2: EUROCAT public health indicators for congenital anomalies in Europe. Birth Defects Res A Clin Mol Teratol 2011; 91: S16–S22.CrossRefGoogle Scholar
Lynema, S, Fifer, CG, Laventhal, NT. Perinatal decision making for preterm infants with congenital heart disease: determinable risk factors for mortality. Pediatr Cardiol 2016; 37: 938–945.CrossRefGoogle ScholarPubMed
Pappas, A, Shankaran, S, Hansen, NI, et al. Outcome of extremely preterm infants (<1000 g) with congenital heart defects from the National Institute of Child Health and Human Development Neonatal Research Network. Pediatr Cardiol 2012; 33: 1415–1426.CrossRefGoogle Scholar
Costello, JM, Polito, A, Brown, DW, et al. Birth before 39 weeks’ gestation is associated with worse outcomes in neonates with heart disease. Pediatrics 2010; 126: 277–284.CrossRefGoogle ScholarPubMed
Jayaram, N, Spertus, JA, O’Byrne, ML, et al. Relationship between hospital procedure volume and complications following congenital cardiac catheterization: a report from the IMproving Pediatric and Adult Congenital Treatment (IMPACT) registry. Am Heart J 2017; 183: 118–128.CrossRefGoogle ScholarPubMed
Bazzani, LG, Marcin, JP. Case volume and mortality in pediatric cardiac surgery patients in California, 1998–2003. Circulation 2007; 115: 2652–2659.CrossRefGoogle Scholar
Hickey, EJ, McCrindle, BW, Caldarone, CA, Williams, WG, Blackstone, EH. Making sense of congenital cardiac disease with a research database: the Congenital Heart Surgeons’ Society Data Center. Cardiol Young 2008; 18: 152–162.CrossRefGoogle ScholarPubMed
van der Linde, D, Konings, EE, Slager, MA, et al. Birth prevalence of congenital heart disease worldwide: a systematic review and meta-analysis. J Am Coll Cardiol 2011; 58: 2241–2247.CrossRefGoogle ScholarPubMed