Safety, timing, and outcomes of early post-operative cardiac catheterisation following congenital heart surgery.
Document Type
Article
Publication Date
8-2024
Identifier
DOI: 10.1017/S1047951124000568
Abstract
OBJECTIVE: The safety of early post-operative cardiac catheterisation has been described following congenital heart surgery. Optimal timing of early post-operative cardiac catheterisation remains uncertain. The aim of this study was to describe the safety of early post-operative cardiac catheterisation and its impact on cardiac ICU and hospital length of stay, duration of mechanical ventilation, and extracorporeal support.
METHODS: This single-centre retrospective cohort study compared clinical and outcome variables between "early" early post-operative cardiac catheterisation (less than 72 hours after surgery) and "late" early post-operative cardiac catheterisation (greater than 72 hours after surgery) groups using Chi-squared, Student's t, and log-rank test (or appropriate nonparametric test).
RESULTS: In total, 132 patients were included, 22 (16.7%) "early" early post-operative cardiac catheterisation, and 110 (83.3%) "late" early post-operative cardiac catheterisation. Interventions were performed in 63 patients (51.5%), 7 (11.1%) early and 56 (88.9%) late. Complications of catheterisation occurred in seven (5.3%) patients, two early and five late. There were no major complications. Patients in the late group trended towards a longer stay in the cardiac ICU (19 days [7, 62] versus 11.5 days [7.2, 31.5], p = 0.6) and in the hospital (26 days [9.2, 68] versus 19 days [13.2, 41.8], p = 0.8) compared to the earlier group.
CONCLUSION: "Early" early post-operative cardiac catheterisation was associated with an overall low rate of complications. Earlier catheterisations trended towards shorter cardiac ICU and hospital length of stays. Earlier catheterisations may lead to earlier recovery for patients not following an expected post-operative course.
Journal Title
Cardiology in the young
Volume
34
Issue
8
First Page
1708
Last Page
1713
MeSH Keywords
Humans; Retrospective Studies; Heart Defects, Congenital; Female; Cardiac Catheterization; Male; Infant; Length of Stay; Time Factors; Cardiac Surgical Procedures; Postoperative Complications; Child, Preschool; Infant, Newborn; Postoperative Care; Postoperative Period; Child; Respiration, Artificial
Keywords
CHD; early post-operative cardiac catheterisation; extracorporeal membrane oxygenation.
Recommended Citation
Krzywda K, Affolter JT, Al-Hassan DM, et al. Safety, timing, and outcomes of early post-operative cardiac catheterisation following congenital heart surgery. Cardiol Young. 2024;34(8):1708-1713. doi:10.1017/S1047951124000568
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