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rdf:type |
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lifeskim:mentions |
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pubmed:issue |
6
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pubmed:dateCreated |
1990-9-6
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pubmed:abstractText |
The total surgical experience of a supraregional paediatric cardiology unit over a nine year period (January 1980 to December 1988) was reviewed to assess the effect of the introduction of the full range of ultrasound techniques. A total of 1517 patients underwent cardiac surgery (955 cardiopulmonary bypass, 562 closed procedures). Of these, 485 patients (32%) did not undergo cardiac catheterisation before operation: 217 bypass (23% of all procedures under cardiopulmonary bypass) and 268 closed procedures (48%). The overall ratio of catheterisations to operations for patients undergoing palliative or corrective surgery fell from 0.97 (1980) to 0.38 (1988). The patients were classified as (a) neonates (0-28 days), (b) infants (one to 12 months), and (c) children (one to 14 years). The main impact of non-invasive surgical referral was in neonates (total catheter:operation ratio 0.38; neonates 0.2 for 1988). The surgical population was further divided according to the principal echocardiographic technique available: (a) 1980-4 cross sectional imaging; (b) 1985-6; imaging plus spectral Doppler ultrasound; (c) 1987-8; imaging plus spectral Doppler ultrasound and colour flow mapping. A fall in the catheter:operation ratio for all age groups was most pronounced in the last four years. This reflects increased familiarity and surgical confidence with non-invasive diagnostic assessment. The introduction of each new echocardiographic technique was associated with a significant fall in the total catheter:operation ratio compared with the preceding period. Six incorrect ultrasound diagnoses were made during the entire period; one of these patients died in the early postoperative period. The integration of Doppler ultrasound with cross sectional imaging has made non-invasive assessment an increasingly practical alternative to preoperative cardiac catheterization.
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pubmed:commentsCorrections |
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-1267978,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-2685079,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-2757873,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-2759753,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-2759755,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3044413,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3229869,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3294969,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3337007,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3524633,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3531287,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3558981,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-359152,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3958345,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-3969891,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-4031289,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-4080571,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-4412556,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-495509,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-642598,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-6466514,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-6486038,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-6751361,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-7126384,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-7317228,
http://linkedlifedata.com/resource/pubmed/commentcorrection/2375896-7448857
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pubmed:language |
eng
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pubmed:journal |
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pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0007-0769
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pubmed:author |
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pubmed:issnType |
Print
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pubmed:volume |
63
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
345-9
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pubmed:dateRevised |
2009-11-18
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pubmed:meshHeading |
pubmed-meshheading:2375896-Adolescent,
pubmed-meshheading:2375896-Child,
pubmed-meshheading:2375896-Child, Preschool,
pubmed-meshheading:2375896-Diagnostic Errors,
pubmed-meshheading:2375896-Echocardiography,
pubmed-meshheading:2375896-Echocardiography, Doppler,
pubmed-meshheading:2375896-Heart Catheterization,
pubmed-meshheading:2375896-Heart Defects, Congenital,
pubmed-meshheading:2375896-Humans,
pubmed-meshheading:2375896-Infant,
pubmed-meshheading:2375896-Infant, Newborn,
pubmed-meshheading:2375896-Postoperative Complications,
pubmed-meshheading:2375896-Retrospective Studies
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pubmed:year |
1990
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pubmed:articleTitle |
Changing role of non-invasive investigation in the preoperative assessment of congenital heart disease: a nine year experience.
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pubmed:affiliation |
Wessex Regional Cardiothoracic Centre, Southampton General Hospital.
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pubmed:publicationType |
Journal Article
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