Cardiovascular magnetic resonance imaging in congenital heart disease as an alternative to diagnostic invasive cardiac catheterization: A single center experience

Emily Heathfield, Tarique Hussain, Shakeel Qureshi, Israel Valverde, Thomas Witter, Abdel Douiri, Aaron Bell, Philipp Beerbaum, Reza Razavi, Gerald F. Greil

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Objective: The study aims to assess whether the increasing use of cardiovascular magnetic resonance imaging in place of diagnostic cardiac catheterization in the management of pediatric patients with congenital heart disease has had an impact on pediatric cardiac care. Design: Retrospective analysis of data was used. Setting: The study was performed at the Evelina Children's Hospital Cardiology Department. Patients.: Elective diagnostic cardiac catheterization or magnetic resonance imaging (MRI) from 2005-2010 are included (n = 896). Outcome Measures: Indication, length of stay, and incidence of complications were recorded. In cases used to plan surgery, 30-day survival following the procedure was recorded. Surgical outcomes were compared between the two groups. Surgical outcomes planned using MRI were compared with national outcomes from Congenital Cardiac Audit Database. Results: For catheterizations (50 patients, [31 male, median age 3 years, interquartile range 1 to 12]), median hospital stay was 1 day (interquartile range 0 to 3), and complications occurred in 11 (22%). Median hospital stay for MRI (846 patients [517 male, median age 3 years, interquartile range 0 to 9]) was significantly shorter: 0 days (interquartile range 0 to 1, P <.001), with fewer complications (16 [1.9%], P <.0001). Twenty-four catheter and 283 MRI patients underwent surgery within 18 months. One catheter patient (2.0%) and four MRI patients (1.4%) died within 30 days (P =.48). Conclusion: Replacing catheterization with cardiovascular magnetic resonance imaging has resulted in reduced rates of complication and shorter hospital stays without a significant impact on surgical outcome.

Original languageEnglish (US)
Pages (from-to)322-327
Number of pages6
JournalCongenital Heart Disease
Volume8
Issue number4
DOIs
StatePublished - Jul 2013

Keywords

  • Cardiovascular magnetic resonance imaging
  • Congenital heart disease
  • Pediatric cardiology

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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