{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T22:14:29Z","timestamp":1766182469740,"version":"3.40.3"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951125000319_as1\"><jats:title>Introduction:<\/jats:title><jats:p>Cardiac catheterisation in the postoperative period emerges as a primary tool, providing effectiveness and safety in diagnosis, treatment guidance, and resolution of major residual lesions.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125000319_as2\"><jats:title>Materials and methods:<\/jats:title><jats:p>This is a retrospective case-control study. We collected the clinical records of patients who underwent cardiac catheterisation between January 2003 and December 2022 within the initial 72 hours after surgery in the pediatric cardiac ICU of a national referral hospital in Mexico City. Descriptive, univariate, and multivariate analyses were performed.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125000319_as3\"><jats:title>Results:<\/jats:title><jats:p>A total of 6,243 surgeries were performed, of which 264 were cardiac catheterizations carried out within the first 72 hours of the postoperative period;these included 73 diagnostic procedures and 191 interventional procedures. One hundred and thirty-five (135) catheterisations targeted recent suture intervention sites. The primary indications for cardiac catheterisation included low cardiac output and the suspicion of major residual lesions. Approximately 65% of interventions occurred within the first 24 hours and solved 426 residual lesions. No significant associations were found between mortality, complications, and the need for surgical reintervention in patients who underwent interventional catheterisation at recent suture sites (OR 1.93;95% CI:0.94\u20134.07:<jats:italic>p<\/jats:italic> = 0.076). Seventeen patients (17) were extubated in the initial 24 hours post-catheterisation. Two major complications were identified: rupture of the systemic-to-pulmonary shunt in the anastomosis, and a pulmonary artery laceration requiring emergency surgery. One patient died.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125000319_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Cardiac catheterisation has evolved into a vital instrument to diagnose and resolve abnormalities and significant residual lesions without increasing the morbidity and mortality risks.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951125000319","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T13:39:05Z","timestamp":1742477945000},"page":"824-830","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Diagnostic and interventional cardiac catheterisation performed within the first 72 hours of the postoperative period in congenital heart surgery"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3015-9368","authenticated-orcid":false,"given":"Amaranta","family":"L\u00f3pez-Santiago","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Juanico-Enr\u00edquez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantale","family":"Gilles-Herrera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose A.","family":"Garc\u00eda-Montes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Zabal-Cerdeira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Garc\u00eda-S\u00e1nchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia A.","family":"Pav\u00f3n-Flores","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0828-1620","authenticated-orcid":false,"given":"Sofia","family":"De la Cruz-P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan S.","family":"Celis-Jasso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,3,20]]},"reference":[{"key":"S1047951125000319_ref2","first-page":"481","article-title":"Cardiac catheterization in the early post-operative period after congenital heart surgery","volume":"34","author":"Kasar","year":"2018","journal-title":"Acta Cardiol Sin"},{"key":"S1047951125000319_ref6","doi-asserted-by":"crossref","first-page":"827","DOI":"10.1007\/s00246-019-02078-3","article-title":"Catheterization performed in the early postoperative period after congenital heart surgery in children","volume":"40","author":"Eraso-D\u00edaz del Castillo","year":"2019","journal-title":"Pediatr Cardiol"},{"key":"S1047951125000319_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2014.06.022"},{"key":"S1047951125000319_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.10.051"},{"key":"S1047951125000319_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(01)01555-7"},{"key":"S1047951125000319_ref11","unstructured":"11. Mart\u00ednez-S\u00e1nchez CR (Ed). Juanico EA, Celis JJS, Garc\u00eda-Montes JA, Gilles HC,. Interventional catheterization in the early postoperative period of congenital heart disease in pediatrics. In: PAC Cardiology 6\/L1 Congenital heart disease in pediatrics, 2020, pp 30\u201337."},{"key":"S1047951125000319_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951118001452"},{"key":"S1047951125000319_ref1","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1002\/ccd.21919","article-title":"Outcomes of emergent cardiac catheterization following pediatric cardiac surgery","volume":"73","author":"Asoh","year":"2009","journal-title":"Catheter Cardiovasc Interv"},{"key":"S1047951125000319_ref7","first-page":"481","article-title":"Cardiac catheterization in the early post-operative period after congenital heart surgery","volume":"34","author":"Kasar","year":"2018","journal-title":"Acta Cardiol Sin"},{"key":"S1047951125000319_ref8","doi-asserted-by":"crossref","first-page":"2607","DOI":"10.1161\/CIR.0b013e31821b1f10","article-title":"Indications for cardiac catheterization and intervention in pediatric cardiac disease A","volume":"123","author":"Feltes","year":"2011","journal-title":"Circulation"},{"key":"S1047951125000319_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10192"},{"key":"S1047951125000319_ref4","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1213\/ANE.0b013e3182908bcb","article-title":"The frequency of cardiac arrests in patients with congenital heart disease undergoing cardiac catheteriza- tion","volume":"118","author":"Odegard","year":"2014","journal-title":"Anesth Analg"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951125000319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T04:02:28Z","timestamp":1743566548000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951125000319\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,20]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["S1047951125000319"],"URL":"https:\/\/doi.org\/10.1017\/s1047951125000319","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2025,3,20]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}