OBJECTIVE: Cardiac catheterization is valuable tool for diagnosis, evaluation and management of congenital heart disease. In spite of development of various non invasive tools for investigation and management of congenital heart disease, cardiac catheterization still holds an important place in pediatric patients. This study was undertaken to report the patients demographic, characteristic of cardiac catheterization as well as to evaluate its outcome and adverse events.
METHOD: This descriptive study was conducted in Saiful Anwar hospital, Malang, East Java, Indonesia. All patients underwent cardiac catheterization since March 2016 until March 2019 were included in this study. Patients demographic, characteristic (including types of catetherization procedure, fluoroscopy time and procedural time), outcome and complications were documented.
RESULT: A total 67 subjects were included in this study with age ranged 1 to 16 years old with median age of 4 years old and 53,7% were female. Thirty nine subjects (58,2%) underwent diagnostic catether procedure and 28 subjects (41,8%) underwent catether based interventions. The transcatheter intervention procedures included patent ductus arteriosus (PDA) closure, atrial septal defect (ASD) closure, ventricular septal defect (VSD) closure, pericardiocentesis, temporary pace maker insertion and renal artery stenting procedure with success rate 26 of 28 (92,8%). The mean fluoroscopy time was 12,88 minutes and total procedural time was 81,77 minutes. The complication encountered was cyanotic spell in 2 subjects, peripheral vascular thrombosis in 2 subjects, pseudoaneurysm in 1 subject and
transient abnormality of cardiac rhythm in 2 subjects.
CONCLUSION: A regional tertiary care hospital has contribution in establishing diagnosis and managing congenital heart disease by performing cardiac catheterization. The cardiac catheterization is considered non invasive procedure with high success rate and low procedural-related adverse events.