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Published in:

01-04-2005

Is Routine Cardiac Catheterization Necessary in the Management of Patients with Single Ventricles Across Staged Fontan Reconstruction? No!

Author: M.A. Fogel

Published in: Pediatric Cardiology | Issue 2/2005

Abstract

With the advent of cardiac magnetic resonance imaging and high-resolution echocardiography, cardiac catheterization is unnecessary in clinical protocols in the “routine” single ventricle patient. Catheterization adds little to clinical care in these cases, and there are significant risks and costs associated with it. Catheterization should be reserved for cases in which noninvasive evaluations are equivocal, conflictory, demonstrate deterioration, or needed for intervention. This article delineates the role of noninvasive evaluations relative to cardiac catheterization in the routine single ventricle patient.

Akagi, T, Benson, LN, Williams, WG, et al. 1993Regional ventricular wall motion abnormalities in tricuspid atresia after the Fontan procedureJ Am Coll Cardiol2211821188PubMed

Allen, HD, Beekman, RH, Garson, A, et al. 1998Pediatric therapeutic cardiac catheterization A statement for healthcare professionals from the Council on Cardiovascular Disease in the Young, American Heart Association. Circulation97609625PubMed

Axel, L, Dougherty, L 1989Heart wall motion: improved method of spatial modulation of magnetization for MR imagingRadiology172349350PubMed

Benz, MG, Benz, MW 2004Reduction of cancer risk associated with pediatric computed tomography by the development of new technologiesPediatrics14205209CrossRef

Brenner, DJ, Elliston, CD, Hall, EJ, et al. 2001Estimated risks of radiation-induced fatal cancer from pediatric CTAm J Roentgenol176289296

Brown, DW, Gauvreau, K, Moran, AN, et al. 2003Clinical outcomes and utility of cardiac catheterization prior to superior cavopulmonary anastomosisJ Thorac Cardiovasc Surg126272281CrossRefPubMed

Cohen, MS, Marino, BS, McElhinney, DB, et al. 2003Neo-aortic root dilation and valve regurgitation up to 21 years after staged reconstruction for hypoplastic left heart syndromeJ Am Coll Cardiol42533540CrossRefPubMed

Eiken, A, Fratz, S, Gutfried, C, et al. 2003Hearts late after Fontan operation have normal mass, normal volume and reduced systolic functionJ Am Coll Cardiol4210611065CrossRefPubMed

Fogel, MA, Gupta, KB, Weinberg, PW, Hoffman, EA 1995Regional wall motion and strain analysis across stages of Fontan reconstruction by magnetic resonance taggingAm J Physiol38H1132H1152

10.

Fogel, MA, Ramaciotti, C, Hubbard, AM, Weinberg, PW 1994Magnetic resonance and echocardiographic imaging of pulmonary artery size throughout stages of Fontan reconstructionCirculation9029272936PubMed

11.

Fogel, MA, Weinberg, PM, Chin, AJ, Fellows, KE, Hoffman, EA 1996Late ventricular geometry and performance changes of functional single ventricle throughout staged Fontan reconstruction assessed by magnetic resonance imagingJ Am Coll Cardiol28212221CrossRefPubMed

12.

Fogel, MA, Weinberg, PM, Fellows, KE, Hoffman, EA 1995A study in ventricular-ventricular interaction: single right ventricles compared with systemic right ventricles in a dual chambered circulationCirculation92219230PubMed

13.

Fogel, MA, Weinberg, PM, Gupta, KB, et al. 1998Mechanics of the single left ventricle: a study in ventricular-ventricular interaction IICirculation98330338PubMed

14.

Fogel, MA, Weinberg, PM, Rychik, J, et al. 1999Caval contribution to flow in the branch pulmonary arteries of Fontan patients using a novel application of magnetic resonance presaturation pulseCirculation9912151221PubMed

15.

Girod, DA, Rice, RMD, Mair, DD, et al. 1985Relationship of pulmonary artery size to mortality in patients undergoing the Fontan operationCirculation72II-93II-96

16.

Griner, PF, Mayewski, RJ, Mushlin, AI, et al. 1981Selection and interpretation of diagnostic tests and proceduresAnn Intern Med94557600PubMed

17.

Modan, B, Keinan, L, Blumstein, T, et al. 2000Cancer following cardiac catheterization in childhoodInt J Epidemiol29424428CrossRefPubMed

18.

Nygren, A, Sunnegardh, J, Berggren, H 2000Preoperative evaluation and surgery in isolated ventricular septal defects: a 21 year perspectiveHeart83198204CrossRefPubMed

19.

Pizarro, C, Malec, E, Maher, KO 2003Right ventricle to pulmonary artery conduit improves outcome after stage I Norwood for hypoplastic left heart syndromeCirculation108II-155II-160CrossRef

20.

Rebergen, SA, Niezen, RA, Helbing, WA, et al. 1996Cine gradient-echo MR imaging and MR velocity mapping in the evaluation of congenital heart diseaseRadiographics16467481PubMed

21.

Rickers, C, Jerosch-Herold, M, Hu, X, et al. 2003Magnetic resonance image-guided transcatheter closure of atrial septal defectsCirculation07132138CrossRef

22.

Ro, PR, Rychik, J, Cohen, MS, et al. 2004Diagnostic assessment before Fontan operation in patients with bidirectional cavopulmonary anastomosis Are noninvasive methods sufficient?J Am Coll Cardiol44184187CrossRefPubMed

23.

Sano, S, Ishino, K, Kawada, M, et al. 2003Right ventricle-pulmonary artery shunt in first-stage palliation of hypoplastic left heart syndromeJ Thorac Cardiovasc Surg126504510CrossRefPubMed

24.

Simonetti, OP, Kim, RJ, Fieno, DS, et al. 2001An improved MRI technique for the visualization of myocardial injuryRadiology218215223PubMed

25.

Vitiello, R, McCrindle, BW, Nykanen, D, et al. 1998Complications associated with pediatric cardiac catheterizationJ Am Coll Cardiol3214331440CrossRefPubMed

26.

Weber, EW 1981On the question of cancer induction by small x-ray dosesAm J Radiat137647666

27.

Wilke, NM, Jerosch-Herold, M, Zenovich, A, Stillman, AE 1999Magnetic resonance first-pass myocardial perfusion imaging: clinical validation and future applicationsJ Magn Reson Imaging10676685CrossRefPubMed

Title: Is Routine Cardiac Catheterization Necessary in the Management of Patients with Single Ventricles Across Staged Fontan Reconstruction? No!
Author: M.A. Fogel
Publication date: 01-04-2005
Publisher: Springer-Verlag
Published in: Pediatric Cardiology / Issue 2/2005
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-004-0960-6

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