Full Citation
Title: Coronary Revascularization Procedures in Children: in-Hospital Mortality and Mid-Term Follow Up Data
Citation Type: Book, Whole
Publication Year: 2016
ISBN:
ISSN: 07351097
DOI: 10.1016/S0735-1097(16)30916-0
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Abstract: Background: Coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) are rare in children (<18 years). We report indications and outcomes of CABG or PCI from a large North American registry of pediatric cardiac centers. Methods: Cohort study from the Pediatric Cardiac Care Consortium (PCCC) for CABG or PCI between 1982 and 2007. Data included age at time of procedure, primary diagnosis, indication, and in-hospital mortality. Long term outcomes were assessed using PCCC follow up data supplemented by data from the United Network for Organ Sharing (UNOS) and the National Death Index (NDI) for a subgroup with adequate identifiers (n=65). Results: We identified 110 coronary revascularization procedures: 19 were performed in infants (CABG 18, PCI 1) and 91 in children (CABG 75, PCI 16). The majority of patients had surgical heart diseases (n=80) including congenital coronary artery abnormalities (n=33), history of arterial switch operation (n=20) or operation at risk for coronary artery injury (n=24). There were 14 in-hospital deaths. Follow-up using the UNOS and NDI identified 10 transplants (OHT) and 10 deaths respectively. The Kaplan Meier plot of the transplant free survival for the cohort submitted to the UNOS and NDI is presented in the Figure with 10-year transplant free survival of 69% (95% CI: 58%- 81%). Conclusions: Coronary revascularization procedures can be performed in children for a variety of indications with acceptable mid-term transplant-free survival.
Url: http://linkinghub.elsevier.com/retrieve/pii/S0735109716309160
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Authors: Kochilas, Lazaros; Menk, Jeremiah S.; Vinocur, Jeffrey M.; Harvey, Brian A.; Spector, Logan G.; Louis, James D. St.
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Pages: 915
Volume: 67
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