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  • 1
    Online Resource
    Online Resource
    Incidence and Management of Vascular Injuries after Invasive Cardiac Catheterization in Children
    Innovational Publishers ; 2022
    In:  Indian Journal of Nursing Sciences Vol. 07, No. 04 ( 2022), p. 98-101
    Details
    In: Indian Journal of Nursing Sciences, Innovational Publishers, Vol. 07, No. 04 ( 2022), p. 98-101
    Abstract: Background: Vascular injuries after cardiac catheterization are well documented in adult population. The incidence of vascular injuries after pediatric cardiac catheterization is not as well defined. With the advent of therapeutic cardiac catheterization in pediatric patients, the incidence of vascular complications is likely to increase. Purpose: The aim of the study was to determine the incidence and management of vascular injuries associated with pediatric cardiac catheterization as an initial experience of in a newly established pediatric center. Methods: This retrospective and observational study was conducted on 268 children with congenital heart disease who have undergone cardiac catheterization either as diagnostic procedure or a therapeutic intervention between March 2018 and August 2019. Patient records were reviewed to obtain demographic, procedural, and treatment data. Patients were analyzed for the incidence and the type of vascular injury seen and treatment given for the same. The type of vascular injury was divided in to major and minor based on severity of the injury. Results: Diagnostic cardiac catheterization was performed in 77 patients and interventions in 191 patients. A total of 62 (23.1%) patients developed some vascular injury out of which 60 (22.3%) cases had minor complication and 2 (0.7%) had major a complication. The most common type of vascular complication seen in our study was transient loss of femoral pulse. Conclusions: Vascular injury is common in children undergoing cardiac catheterization, majority of which are minor complications and can be managed conservatively. They are seen more commonly during therapeutic cardiac catheterization. Further studies with larger sample size are needed to identify the risk factors for vascular injury.
    Type of Medium: Online Resource
    ISSN: 2581-463X
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.31690/ijns.2022
    DOI: 10.31690/ijns
    DOI: 10.31690/ijns.2022.v07i04.004
    Language: Unknown
    Publisher: Innovational Publishers
    Publication Date: 2022
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  • 2
    Online Resource
    Online Resource
    Transcatheter Device Closure of Postsurgical Residual Left to Right Shunt Lesions in Children during the Immediate Postoperative Period
    SAGE Publications ; 2023
    In:  Indian Journal of Clinical Cardiology Vol. 4, No. 4 ( 2023-12), p. 248-255
    Details
    In: Indian Journal of Clinical Cardiology, SAGE Publications, Vol. 4, No. 4 ( 2023-12), p. 248-255
    Abstract: Postoperative residual shunts in the form of ventricular septal defects (VSD) and patent ductus arteriosus (PDA), if hemodynamically significant, can lead to symptoms of left ventricular volume overload and delayed recovery. The standard management is redo surgery, which can lead to significant morbidity and mortality. Device closure of such defects offers an alternative management strategy in selected cases. This study aims to examine the utility of device closure of residual left-to-right shunts in the pediatric age group in the immediate postoperative period. Method A retrospective analysis of hospital records was done from March 2018 to December 2022 to analyze the device closure in postoperative residual shunts. The success rate, complications, hospital length of stay, and midterm follow-up were analyzed. Results A total of four postoperative patients underwent VSD device closure and one patient underwent PDA device closure. The median age at transcatheter procedure was 6 years (range 3–10 years). The median time interval between the surgical procedure and the device closure procedure was 4 days (range 2–15 days). The indication for device closure was left ventricular volume overload in three patients and two patients had persistent pleural effusion. Qp:Qs was more than 1.5:1 in all five patients. The amplatzer duct occluder I (ADO-I) device was used in four patients and the ADO-II in one patient. There was no residual shunt post-deployment, with no major complication. The mean follow-up period was 2 years and all the patients had no residual shunt. Conclusion This case series, with its limitation of only five cases, has shown that device closure of hemodynamically significant residual postoperative left-to-right shunt lesions is an effective alternative strategy to redo surgery in older children. Further study is required with a larger sample size, and a longer follow-up is needed to evaluate its long-term safety and efficacy.
    Type of Medium: Online Resource
    ISSN: 2632-4636 , 2632-4644
    URL: Article
    DOI: 10.1177/26324636231213696
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2023
    detail.hit.zdb_id: 3010340-X
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  • 3
    Online Resource
    Online Resource
    Incidence and Type of Right Ventricular Diastolic Dysfunction in Postoperative Tetralogy of Fallot Pediatric Patients
    SAGE Publications ; 2022
    In:  Indian Journal of Clinical Cardiology Vol. 3, No. 3 ( 2022-09), p. 141-145
    Details
    In: Indian Journal of Clinical Cardiology, SAGE Publications, Vol. 3, No. 3 ( 2022-09), p. 141-145
    Abstract: Assessment of right ventricular (RV) diastolic function in postoperative Tetralogy of Fallot (TOF) patients is not routinely done during intermediate follow-up. We have done this study to assess the incidence and type of RV diastolic dysfunction in these patients. Method: Ninety patients who were less than 18 years and underwent total correction for TOF were analyzed in this study. The incidence and type of RV diastolic dysfunction was measured and the effect of degree of pulmonary regurgitation on RV diastolic function was also seen. Results: The total number of patients with RV diastolic dysfunction was 46 (51.1%). Restrictive RV physiology was seen in 8 patients (8.8%) and the most common type of RV diastolic dysfunction seen was pseudonormal filling, seen in 23 (25.6%) patients. Conclusion: Subclinical RV diastolic dysfunction is present in almost half of the postoperative TOF patients of pediatric age group. The most prevalent form of diastolic dysfunction was pseudonormal filling during intermediate follow-up.
    Type of Medium: Online Resource
    ISSN: 2632-4636 , 2632-4644
    URL: Article
    DOI: 10.1177/26324636221081592
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 3010340-X
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  • 4
    Online Resource
    Online Resource
    Effect of maternal hemoglobin and iron status on fetal hemoglobin, iron status, growth and maturity
    Medip Academy ; 2021
    In:  International Journal of Contemporary Pediatrics Vol. 9, No. 1 ( 2021-12-24), p. 62-
    Details
    In: International Journal of Contemporary Pediatrics, Medip Academy, Vol. 9, No. 1 ( 2021-12-24), p. 62-
    Abstract: Background: Iron deficiency anemia during pregnancy is a major health issue in India. However, the status of iron stores in infants born to iron depleted mothers remains controversial and inadequately investigated. The present study is therefore an attempt to understand whether maternal anemia and iron stores have any significant effect on iron status and growth of fetus.Methods: This is a prospective, cross-sectional, hospital based study conducted at Mata Chanan Devi Hosital, Janakpuri, New Delhi. Hemoglobin and iron profile of 100 newborns and their mothers were taken. Mothers were divided into anemic and non anemic group to see the effect of maternal anemia on fetus.Results: A total of 100 newborns and their mothers were analysed. Cord hemoglobin and iron profile was significantly reduced in anemic compared to non anemic group. Birth weight of newborn was significantly reduced only in moderately anemic group as compared to non anemic group but there was no difference seen in length and head circumference.Conclusions: Maternal serum ferritin levels should be measured for the diagnosis of occult iron deficiency in the fetus so that timely measures can be taken to prevent iron deficiency anemia in the newborn.
    Type of Medium: Online Resource
    ISSN: 2349-3291 , 2349-3283
    URL: Article
    DOI: 10.18203/2349-3291.ijcp20214940
    Language: Unknown
    Publisher: Medip Academy
    Publication Date: 2021
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  • 5
    Online Resource
    Online Resource
    Echocardiographic Assessment of Right Ventricular Systolic Function in Postoperative Tetralogy of Fallot Patients with Special Emphasis on Right Ventricular-Global Longitudinal Strain
    Medknow ; 2022
    In:  Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging Vol. 6, No. 2 ( 2022), p. 100-107
    Details
    In: Journal of The Indian Academy of Echocardiography & Cardiovascular Imaging, Medknow, Vol. 6, No. 2 ( 2022), p. 100-107
    Abstract: Limitations of echocardiography have long been known for the assessment of right ventricular (RV) systolic function in postoperative tetralogy of Fallot (TOF) patients. In this study, we evaluated the role of RV-global longitudinal strain (GLS) for the assessment of RV systolic function. Materials and Methods: It was a single institution prospective observational study of ninety postoperative TOF patients. Detailed 2-dimensional echocardiography along with RV-GLS using speckle tracing imaging was done at baseline and after 1 year. The children were divided into three groups based on duration since total correction, i.e., group A (6 months to 5 years), group B (6–10 years), and group C ( 〉 10 years) to assess the differences in RV systolic function. Furthermore, correlation of RV-GLS with RV-fractional area change (FAC), tricuspid annular plane systolic excursion, and tricuspid valve tissue Doppler imaging s' velocity was done. Results: In group A patients, a statistically significant increase in RV systolic function was seen over a period of 1 year. However, in group B and C patients, no significant change was seen. There was a strong positive correlation of RV-GLS only with RV-FAC during the first follow-up ( r = 0.41, P 〈 0.01) and second follow-up periods ( r = 0.67, P 〈 0.01). Conclusion: RV-GLS has a strong positive correlation with RV-FAC, and it detects preclinical regional myocardial dysfunction even when the RV-FAC is normal and thus must be included in the evaluation of postoperative TOF children.
    Type of Medium: Online Resource
    ISSN: 2543-1463
    URL: Article
    DOI: 10.4103/jiae.jiae_60_21
    Language: English
    Publisher: Medknow
    Publication Date: 2022
    detail.hit.zdb_id: 3091074-2
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