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Procedural characteristics and adverse events in diagnostic and interventional catheterisations in paediatric and adult CHD: initial report from the IMPACT Registry

Published online by Cambridge University Press:  23 February 2015

Robert N. Vincent ,
John Moore ,
Robert H. Beekman III ,
Lee Benson ,
Lisa Bergersen ,
Ralf Holzer ,
Natalie Jayaram ,
Kathy Jenkins ,
Richard Ringel  and
Jonathan Rome
...Show all authors
Robert N. Vincent*
Affiliation:
Department of Pediatrics, Children’s Healthcare of Atlanta, Emory University School of Medicine, Atlanta, United States of America Department of Pediatric Cardiology, Children’s Healthcare of Atlanta, Emory University School of Medicine, Atlanta, United States of America
John Moore
Affiliation:
Rady Children’s Hospital, University of California San Diego, San Diego, United States of America
Robert H. Beekman III
Affiliation:
Cincinnati Children’s Hospital Medical Center, University of Cincinnati, Cincinnati, United States of America
Lee Benson
Affiliation:
Toronto Hospital for Sick Children, University of Toronto, Toronto, Canada
Lisa Bergersen
Affiliation:
Boston Children’s Hospital, Harvard University, Boston, United States of America
Ralf Holzer
Affiliation:
Sidra Medical Center, Doha, Qatar
Natalie Jayaram
Affiliation:
Children’s Mercy Hospitals and Clinics, Kansas City, United States of America Saint Luke’s Mid America Heart Institute, Kanas City, United States of America
Kathy Jenkins
Affiliation:
Boston Children’s Hospital, Harvard University, Boston, United States of America
Richard Ringel
Affiliation:
Johns Hopkins Children’s Center, Johns Hopkins University, Baltimore, United States of America
Jonathan Rome
Affiliation:
Children’s Hospital of Philadelphia, University of Pennsylvania, Philadelphia, United States of America
Gerard R. Martin
Affiliation:
Children’s National Health System, George Washington University, Washington, District of Columbia, United States of America
*
Correspondence to: Robert Vincent, MD, Department of Cardiology, Children’s Healthcare of Atlanta, 2835 Brandywind Road Suite 300, Atlanta, GA 30341, United States of America. Tel: 404 256 2593; E-mail: vincentr@kidsheart.com
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Abstract

Objectives

To report procedural characteristics and adverse events on data collected in the registry.

Background

The IMPACT – IMproving Paediatric and Adult Congenital Treatment – Registry is a catheterisation registry of paediatric and adult patients with CHD undergoing diagnostic and interventional cardiac catheterisation. We are reporting the procedural characteristics and adverse events of patients undergoing diagnostic and interventional catheterisation procedures from January, 2011 to March, 2013.

Methods

Demographic, clinical, procedural, and institutional data elements were collected at the participating centres and entered via either a web-based platform or software provided by American College of Cardiology-certified vendors, and were collected in a secure, centralised database. Centre participation was voluntary.

Results

During the time frame of data collection, 19,797 procedures were entered into the IMPACT Registry. Procedures were classified as diagnostic only (35.4%); one of six specific interventions (23.8%); other or multiple interventions (40.7%); and were further broken down into four age groups. Anaesthesia was used in 84.1% of diagnostic procedures and 87.8% of interventional ones. Adverse events occurred in 10.0% of diagnostic and 11.1% of interventional procedures.

Conclusions

The IMPACT Registry is gathering data to set national benchmarks for diagnostic and certain specific interventional procedures. We are seeing little differences in procedural characteristics or adverse events in diagnostic procedures compared with interventional procedures overall, but there is significant variation in adverse events amongst age categories. Risk stratification and patient acuity scores will be required for further analysis of these differences.

Keywords

IMPACT Registryquality improvementcardiac catheterisation
Type
Original Articles
Information
Cardiology in the Young , Volume 26 , Issue 1 , January 2016 , pp. 70 - 78
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Copyright
© Cambridge University Press 2015 

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References

1. Stanger, P, Cassidy, SC, Girod, DA, Kan, JS, Lababidi, Z, Shapiro, SR. Balloon pulmonary valvuloplasty: results of the valvuloplasty and angioplasty of congenital anomalies registry. Am J Cardiol 1990; 65: 775–783.Google Scholar
2. McCrindle, BW. Independent predictors of long term results after balloon pulmonary valvuloplasty. Circulation 1994; 89: 1751–1759.Google Scholar
3. Pass, RH, Hijazi, Z, Hsu, DT, Lewis, V, Hellenbrand, WE. Multicenter USA Amplatzer patent ductus arteriosus occlusion device trial: initial and one-year results. J Am Coll Cardiol 2004; 44: 513–519.Google Scholar
4. Jones, TK, Latson, LA, Zahn, E, et al. Results of the U.S. multicenter pivitol study of the HELEX septal occluder for percutaneous closure of secundum atrial septal defects. J Am Coll Cardiol 2007; 49: 2215–2221.Google Scholar
5. Everett, AD, Ringle, R, Rhodes, JF, et al. Development of the MAGIC congenital heart disease catheterization database for interventional outcome studies. J Interv Cardiol 2006; 19: 173–177.Google Scholar
6. Bergersen, L, Gauvreau, K, Marshall, A, et al. Procedure-type risk categories for pediatric and congenital cardiac catheterization. Circ Cardiovasc Interv 2011; 4: 188–194.CrossRefGoogle ScholarPubMed
7. Bergersen, L, Gavreau, K, Foerster, SR, et al. Catheterization for congenital heart disease adjustment for risk method (CHARM). JACC Cardiovasc Interv 2011; 4: 1037–1046.Google Scholar
8. Forbes, TJ, Garekar, S, Amin, Z, et al. Procedural results and acute complications in stenting native and recurrent coarctation of the aorta in patients over 4 years of age: a multi-institutional study. Catheter Cardiovasc Interv 2007; 70: 276–285.CrossRefGoogle ScholarPubMed
9. Martin, G, Beekman, R, Ing, F, et al. The IMPACT Registry: improving pediatric and adult congenital treatments. Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann 2010; 13: 20–25.Google Scholar
10. Messenger, JC, Ho, KL, Slattery, LE, et al. The National Cardiovascular Data Registry (NCDR) Data Quality Brief: the NCDR Data Quality Program in 2012. J Am Coll Cardiol 2012; 60: 1484–1488.Google Scholar
11. Bergersen, L, Marshall, A, Gauvreau, K, et al. Adverse event rates in congenital cardiac catheterization: a multi-center experience. Catheter Cardiovasc Interv 2009; 75: 389–400.Google Scholar