Abstract

Background: Percutaneous catheterization for diagnostic and therapeutic purpose has been used since long for management of neonates and young infant with Congenital Heart Disease (CHD). In Bangladesh these activities are being carried out routinely since 1998. Aim of this study is to analyze the pattern of diseases, intervention and outcome of cases who had catheterization and intervention.

Methods: This is a retrospective study carried out in a tertiary level hospital from Jan 2015 to Jan 2020. Demographics, clinical presentation, diagnostic and procedural parameters were recorded from computerized medical records of various departments of pediatric cardiology.

Result: Total 883 cases were analyzed. Most of the cases were in > 6-month-18 month age group. Male were 444(50.28%) and female were 439 (49.72%) Most of the cases (43.60%) reported with pneumonia and dyspnea and later identified as congenital heart disease. Isolated patent ductus arteriosus (41.33%) was the commonest CHD in the study population. Six hundred ninety-eight (79.05%) cases had transcatheter interventions and 185 (20.95%) cases had cardiac catheterization. Seventy-six (8.60%) cases were neonates. Median Gestational age was 34 weeks for neonates. Most common procedure in neonate was Balloon Atrial Septostomy (BAS) (23.68%) and in infant was device closure (46.38%) of Patent Ductus Arteriosus (PDA). Over all median procedure time was 25min. Overall success rate was 97.27%. Two patient of PDA stenting died from pulmonary oedema. Two patient of PDA device closure died at home after discharge from milk aspiration.

Conclusion: Most of the procedure in neonate and infant was performed as life saving measure. Many procedures were performed for the reason that immediate surgery was not available in our set up. Outcome of the procedures were good.

Keywords: Transcatheter intervention; Congenital heart disease; Newborn; Cardiac Catheterization 3.

Abbreviations: TGA: Transposition of Great Arteries; PA: Pulmonary Atresia; CoA: Coarctation of Aorta; PS: Pulmonary Stenosis; AS: Aortic Stenosis; LPA: Left Pulmonary Artery; RPA: Right Pulmonary Artery; BAS: Balloon Atrial Septostomy; BVP: Balloon Valvuloplasty; GW: Gestational Week