Aim Risk stratification for mortality after cardiac catheterization in early post-operative children.
Introduction Transcatheter intervention has evolved overtime to expose high risk, sick chldren to such procedures. The risk of dying, rises significantly in emergent and critically sick patients. Rarely published, we reviewed records of 35 patients, 43 procedures during immediate/early post operative period after cardiac surgery for congenital heart disease.
Methods Multivariate analysis for age, weight, sex, time between surgery/intervention, and the intervention on natural vasculature/synthetic material, was done, as possible risk factors for mortality.
Results Thirty patients survived and cleared from ICU in due course. None of the risk factors could be attributed to the mortality. Multivariate analysis for all risk factors proved statistically insignificant.
Conclusion We conclude that transcatheter intervention in critically sick patients during immediate post operative period ta safe in expert hands and in a fully equipped facility, backed up by multi specialty team.