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The frequency of asymptomatic urinary system abnormalities in children detected with cineurography imaging during angiocardiography

Published online by Cambridge University Press:  20 February 2019

Orcun Oral
Affiliation:
Department of Pediatrics, Yozgat Public Hospital, Yozgat, Turkey
Muhammet Hamza Halil Toprak*
Affiliation:
Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey
Fahrettin Uysal
Affiliation:
Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey
Ozlem Mehtap Bostan
Affiliation:
Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey
Ergun Cil
Affiliation:
Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey
*
Author for correspondence: M. H. H. Toprak, Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey. Tel: +902242950449/+905323011071; Fax: +902244428143; E-mail: muhammedhamzatoprak@hotmail.com

Abstract

Introduction

Diagnostic and interventional catheter angiography of the heart is frequently used in paediatric cardiology. It is also possible to detect urinary system anomalies with cineurography images that may be obtained during angiocardiography. In this study, the aim was to determine the frequency, distribution, and properties of urinary system anomalies accompanying heart diseases, and to find out the effectiveness of cineurographic images in detecting the urinary system anomalies.

Methods

The cineurographic images of 2022 children who had undergone angiocardiography between 1995 and 2015 were retrospectively examined.

Results

Urinary system anomalies were detected in 261 of the 2022 cases (12.9%). Of these 261 cases, 148 were males (56.7%), whereas 113 were females (43.3%). Among the heart diseases, the group most accompanied by urinary system anomalies was the non-cyanotic left-to-right shunted heart diseases, which was detected in 120 (39.1%) patients. Pelvicalyceal ectasia was the most common urinary system anomaly encountered and was detected in 89 patients (34.1%). Of the urinary system anomalies cases, 94 detected by cineurography were determined to be clinically severe. When the effectiveness of the cineurography was evaluated using the ultrasonography records of the patients, it was found to have 63.8% accuracy.

Conclusion

Many of the patients with CHDs concomitantly have urinary system anomalies. It is possible to determine asymptomatic urinary system anomalies using cineurographic imaging during angiocardiography. This may lead to earlier treatments and improved prognosis for the patients, thus making it possible to prevent potential future problems.

Type
Original Article
Copyright
© Cambridge University Press 2019 

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Footnotes

Cite this article: Oral O, Toprak MHH, Uysal F, Bostan OM, Cil E. (2019) The frequency of asymptomatic urinary system abnormalities in children detected with cineurography imaging during angiocardiography. Cardiology in the Young29: 119–122. doi: 10.1017/S1047951118001828

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