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Utility and Safety of Combined Interventional Catheterization and Electrophysiology Procedures in a Children's Hospital
Author(s) -
ASAKI S. YUKIKO,
ORCUTT JEFFREY W.,
MIYAKE CHRISTINA Y.,
JUSTINO HENRI,
la UZ CARIDAD M.,
KIM JEFFREY J.,
VALDES SANTIAGO O.,
QURESHI ATHAR M.
Publication year - 2017
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.13047
Subject(s) - medicine , cardiac catheterization , cath lab , heart disease , single center , cardiac electrophysiology , cohort , interventional cardiology , catheter , retrospective cohort study , intensive care medicine , pediatrics , surgery , cardiology , electrophysiology , myocardial infarction , conventional pci
Background Interventional cardiac catheterization (cath) and electrophysiology (EP) procedures are not routinely performed together. There are several perceived barriers affecting this practice, though there are also advantages for both the patient and practitioner to a combined approach. Methods This was a single‐center retrospective study reviewing combined cath and EP procedures with a preprocedural intention to intervene at Texas Children's Hospital from 2001 to 2014. We excluded procedures in which the intended procedure was purely diagnostic in nature. Results A total of 121 patients requiring 125 procedures were identified, of which 61 patients underwent 62 procedures that met our inclusion criteria. Potential subgroups of interest included adult congenital heart disease patients (26% of cohort), single ventricle anatomy (34%), and heterotaxy (19%) and collectively 58% of procedures involved a patient in one of these groups. The combined nature of the procedure did not preclude a cath or EP intervention in any patient. There were no mortalities. There were three adverse events, affecting 4.8% of procedures. Conclusions Combined interventional cardiac cath and EP procedures in pediatric patients and those with congenital heart disease can be performed safely in a high‐volume center. These combined procedures save patients the risk and inconvenience of multiple procedures, and further investigation into cost savings is warranted.