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The frequency of asymptomatic urinary system abnormalities in children detected with cineurography imaging during angiocardiography

Published online by Cambridge University Press:  20 February 2019

Orcun Oral ,
Muhammet Hamza Halil Toprak ,
Fahrettin Uysal ,
Ozlem Mehtap Bostan  and
Ergun Cil
Orcun Oral
Affiliation:
Department of Pediatrics, Yozgat Public Hospital, Yozgat, Turkey
Muhammet Hamza Halil Toprak*
Affiliation:
Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey
Fahrettin Uysal
Affiliation:
Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey
Ozlem Mehtap Bostan
Affiliation:
Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey
Ergun Cil
Affiliation:
Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey
*
Author for correspondence: M. H. H. Toprak, Department of Pediatric Cardiology, University of Uludag, Bursa, Turkey. Tel: +902242950449/+905323011071; Fax: +902244428143; E-mail: muhammedhamzatoprak@hotmail.com
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Abstract

Introduction

Diagnostic and interventional catheter angiography of the heart is frequently used in paediatric cardiology. It is also possible to detect urinary system anomalies with cineurography images that may be obtained during angiocardiography. In this study, the aim was to determine the frequency, distribution, and properties of urinary system anomalies accompanying heart diseases, and to find out the effectiveness of cineurographic images in detecting the urinary system anomalies.

Methods

The cineurographic images of 2022 children who had undergone angiocardiography between 1995 and 2015 were retrospectively examined.

Results

Urinary system anomalies were detected in 261 of the 2022 cases (12.9%). Of these 261 cases, 148 were males (56.7%), whereas 113 were females (43.3%). Among the heart diseases, the group most accompanied by urinary system anomalies was the non-cyanotic left-to-right shunted heart diseases, which was detected in 120 (39.1%) patients. Pelvicalyceal ectasia was the most common urinary system anomaly encountered and was detected in 89 patients (34.1%). Of the urinary system anomalies cases, 94 detected by cineurography were determined to be clinically severe. When the effectiveness of the cineurography was evaluated using the ultrasonography records of the patients, it was found to have 63.8% accuracy.

Conclusion

Many of the patients with CHDs concomitantly have urinary system anomalies. It is possible to determine asymptomatic urinary system anomalies using cineurographic imaging during angiocardiography. This may lead to earlier treatments and improved prognosis for the patients, thus making it possible to prevent potential future problems.

Keywords

Angiocardiographyurinary system anomaliescineurography
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 2 , February 2019 , pp. 119 - 122
Copyright
© Cambridge University Press 2019 

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Footnotes

Cite this article: Oral O, Toprak MHH, Uysal F, Bostan OM, Cil E. (2019) The frequency of asymptomatic urinary system abnormalities in children detected with cineurography imaging during angiocardiography. Cardiology in the Young29: 119–122. doi: 10.1017/S1047951118001828

References

1. Cil, E. Kardiyolojik Tetkik Yöntemleri. 2. baskı. Heper C (ed). Multidisipliner Kardiyoloji, Bursa, Format matbaa, 2004: 69–111.Google Scholar
2. Barakat, AJ, Drougas, JG. Occurrence of congenital abnormalities of kidney and urinary tract in 13,775 autopsies. Urology 1991; 38: 347–350.10.1016/0090-4295(91)80150-6Google Scholar
3. Ceviz, N, Eren, S, Karacan, M, et al. Konjenital Kalp Hastalığına Eşlik Eden Renal Anomaliler Ekokardiyografik Çalışma Sırasında Saptanabilir mi? Eurasian J Med 2006: 38–40.Google Scholar
4. Rosa, RCM, Rosa, RFM, Zen, PRG, et al. Congenital heart defects and extracardiac malformations. Rev Paul Pediatr 2013; 31: 243–251.Google Scholar
5. Çil, E, Bostan, ÖM. Silent anomalies of the urinary tract in children with congenital heart disease. Int Pediatr 1999; 14: 225–228.Google Scholar
6. Hoeffel, JC, Méry, J, Worms, AM, et al. Frequency of association of cardiac and urinary abnormalities. La Sem des hôpitaux organe fondé par l’Association d’enseignement médical des hôpitaux Paris 1978; 54: 437–441.Google Scholar
7. Pradat, P. Noncardiac malformations at major congenital heart defects. Pediatr Cardiol 1997; 18: 11–18.10.1007/s002469900101Google Scholar
8. Toprak, Y. Çocuk Kardiyoloji Bilim Dalında Yapılan Anjiokardiyografilerde Konjenital Kalp Hastalıklarına Eşlik Eden Üriner Sistem Anomalilerinin Sıklığı ve Özellikleri. Gaziantep Üniverstesi, 2012.Google Scholar
9. Humphry, A, Munn, JD. Abnormalities of the urinary tract in association with congenital cardiovascular disease. Can Med Assoc J 1966; 95: 143–145.Google Scholar
10. Semizel, E, Bostan, ÖM, Çil, E, et al. Konjenital Kalp Hastalarına Eşlik Eden Üriner Sistem Anomalilerinin Tanısında Sineürografi ve Renal Ultrasonografinin Yeri. Erciyes Med J 2009; 31: 318–322.Google Scholar
11. Tuson, JR, McHugh, K, Archer, LN, et al. The post-angiocardiography urogram in children: should it be abandoned? Clin Radiol 1995; 50: 479–482.Google Scholar