OBJECTIVES: We sought to characterize the outcomes of routine catheterization prior to superior cavopulmonary @entity254 and to determine if some @entity1 were unlikely to benefit from catheterization and thus might be evaluated preoperatively with noninvasive methods alone. BACKGROUND: @entity299 @entity1 with single ventricle physiology undergo routine echocardiography and cardiac catheterization prior to superior cavopulmonary @entity254 to determine anatomic and hemodynamic suitability for this procedure. METHODS: We performed a retrospective review of all @entity1 (n = 114) evaluated for potential superior cavopulmonary @entity254 at our institution from January 1997 to June 2000. RESULTS: @entity1 ' median age was 5.5 months. Full echocardiograms were obtained in 79 @entity1 (69%). At catheterization a total of 41 interventions were performed in 35 @entity1 (31%). Twenty-seven @entity1 (24%) were transfused, 18 @entity1 (17%) required cardiac intensive care unit admission, and median length of stay following catheterization was 1 day (range 0 to 22). Complications occurred in 28 @entity1 (25%), most transient. Of 51 @entity1 who had complete echocardiograms without indication for catheterization, none subsequently had significant interventions and only 2 had new findings at catheterization. Three candidates were excluded from operation; all 111 others underwent successful procedures and survived to hospital discharge. CONCLUSIONS: Interventions were frequent at catheterization prior to superior cavopulmonary @entity254 , but transient complications, transfusion, intensive care unit admission, and prolonged hospital length of stay were common. For @entity1 in whom no issues indicating need for catheterization are identified by echocardiogram, routine catheterization rarely results in new information or intervention. These @entity1 may be more safely evaluated preoperatively using exclusively noninvasive techniques.

Clinical outcomes and utility of cardiac catheterization prior to superior cavopulmonary XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'infants'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity299 :: ('MESH:D006331', 'Disease') :: ['Congenital heart disease']
@entity254 :: (MESH:C563598,Disease) :: ['anastomosis']
