Journal of JCIC

Online edition: ISSN 2432–2342
JCIC学会事務局 JCIC学会事務局
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Journal of JPIC 1(2): 59-64 (2016)

原著Original Article

先天性心疾患術後早期に行った心臓カテーテル検査およびカテーテルインターベンションCardiac Catheterization and Intervention in the Early Postoperative Period after Congenital Heart Surgery

1埼玉医科大学国際医療センター小児心臓科Department of Pediatric Cardiology, Saitama Medical University International Medical Center ◇ Satiama, Japan

2慶應義塾大学医学部小児科Department of Pediatrics (Division of Pediatric Cardiology), Keio University, School of Medicine

3埼玉医科大学国際医療センター小児心臓外科Department of Pediatric Pediatric Cardiac Surgery Cardiology, Saitama Medical University International Medical Center ◇ Satiama, Japan

受付日:2016年11月1日Received: November 1, 2016
受理日:2016年12月9日Accepted: December 9, 2016
発行日:2016年12月31日Published: December 31, 2016





Background: Cardiac catheterization is often performed to evaluate the early postoperative hemodynamic status and also to treat residual anatomic defects.

Methods: We retrospectively evaluated 30 cardiac catheterizations performed within 30 days after surgery between January 2012 and January 2016.

Results: Cardiac catheterizations were performed to evaluate the hemodynamic status in 6 patients and for intervention of residual cardiac diseases in 24 patients. The median number of postoperative days was 13.5 days, and catheterization was performed on extracorporeal membrane oxygenation (ECMO) in 5 patients. Dilation angioplasty was performed in 11 patients and was effective in 10 (83%). Stent implantations were performed in 10 patients and were successful in 7 (78%). Diagnostic catheterization was also effective for an early diagnosis of the hemodynamic status. A complication was noted in 1 patient with pulmonary bleeding due to a reperfusion injury.

Conclusion: Cardiac catheterization and catheter intervention in the early postoperative period can be safely performed, and can significantly improve the mortality and morbidity.

Key words: cardiac catheterization; catheter intervention; early postoperative period; congenital heart surgery

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