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Revista Cubana de Pediatría

versión impresa ISSN 0034-7531


DIAZ BERTOT, Eliobert; OZORES SUAREZ, Francisco Javier; TAPANES DAUMY, Hiram  y  SENRA REYES, Lysmara. Interventional catheterism under emergency conditions for children under one year of age. Rev Cubana Pediatr [online]. 2014, vol.86, n.3, pp.308-314. ISSN 0034-7531.

Objective: to determine the effectiveness of cardiac interventional catetherism in emergency conditions for children under one-year old admitted to "William Soler" pediatric cardiocenter from January 1st 2010 to December 31st,2011. Methods: a prospective and descriptive study was conducted. The obtained variables were collected and analyzed with SPSS statistical package 15.0. Percentages, and the median and the standard deviation were used for qualitative variables and quantitative variables, respectively. The independent Chi square statistic was also applied. Results: the final sample was made up of 61 patients, 35 were males (57.4 %) and 33 aged less than one month. The most common congenital heart diseases were pulmonary stenosis and transposition of the great arteries. Raskind's atrial septostomy (41 %) and pulmonary valvulopathy (34.5 %) were the most resorted procedures. After performing interventional catheterism, better artery oxygen saturation was attained in 93.4 % of cases as well as peak gradients of mild residual pressure. Severe bradychardia occurred in 8.1 % of patients with complications. Interventional catheterism in emergency conditions succeeded in 91.8 % of the treated patients. Conclusions: the above-mentioned procedure was effective, allowed improving the artery oxygen saturation and peak gradients of mild residual pressures in most of patients. Prostaglandin E1 proved to be useful in keeping permeability of the arterial duct and made survival of neonates possible since their clinical condition was stabilized before and after the procedure.

Palabras clave : interventional catheterism; congenital heart diseases; pediatrics.

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