Predictors of procedural complications in adult Fontan patients undergoing non-cardiac procedures

Heart
Alexander C EgbeHeidi M Connolly

Abstract

Limited data exist regarding the outcomes of non-cardiac procedures (NCPs) in adult patients after Fontan operations (Fontan patients). To compare procedural outcomes after NCPs in Fontan patients with outcomes for two matched control groups: patients with repaired congenital heart disease and biventricular circulation (CHD-BiV) and patients with no heart disease (NHD). We defined cyanosis as oxygen saturation <90% and procedural hypoxia as saturation <80% or a decrease in saturation >10% from baseline. There were 538 NCPs in 154 Fontan patients (mean age, 30 years) performed in 1990-2015. Sedation and anaesthesia types were monitored anaesthesia care (256,48%), general anaesthesia (51,9%), minimal sedation (105,20%), local anaesthesia (75,14%) and regional anaesthesia (51,9%). Ninety-three complications occurred in 79 procedures (15%) and included arrhythmia requiring intervention (9), hypotension (14), bradycardia (8), hypoxia (38), heart failure requiring intravenous diuretics (2), acute kidney injury (3), bleeding requiring blood transfusion (1), unplanned procedures for dialysis catheter placement (2), readmission (2), unplanned hospitalisation for hypoxia (8) and unplanned transfer to intensive care unit (1). Baseline cya...Continue Reading

References

Dec 8, 1998·Anesthesia and Analgesia·D Anghelescu, R F Kaplan
Feb 6, 1999·Journal of the American College of Cardiology·N M AmmashC A Warnes
May 17, 2005·Heart·Marc Gewillig
Jan 19, 2006·Spine·Daniel J HedequistJohn E Hall
Jul 16, 2009·Anesthesiology·Maxime CannessonJudy R Kersten
Apr 12, 2011·Journal of Cardiothoracic and Vascular Anesthesia·Susan S Eagle, Suanne M Daves
Sep 25, 2012·Paediatric Anaesthesia·Jennifer A RabbittsRandall P Flick
Nov 28, 2013·Heart Failure Clinics·Marc Gewillig, David J Goldberg
Mar 1, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ajay J IyengarUNKNOWN Australia and New Zealand Fontan Registry
Aug 19, 2014·Congenital Heart Disease·Robert W ElderWendy M Book
Mar 15, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Toshihide NakanoShiro Ishikawa
Feb 6, 2016·International Journal of Cardiology·Alexander C EgbeChristopher J McLeod
Feb 20, 2016·Journal of the American College of Cardiology·David FaraoniJames A DiNardo
Mar 25, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Masamichi OnoRüdiger Lange
Jul 9, 2016·International Journal of Cardiology·Alexander C EgbeNaser M Ammash
Sep 17, 2016·Journal of the American College of Cardiology·Alexander C EgbeDavid J Driscoll

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Citations

Nov 1, 2018·Heart·Emmanuel AkintoyeAlexander C Egbe
Jul 2, 2019·Circulation·Jack RychikUNKNOWN American Heart Association Council on Cardiovascular Disease in the Young and Council on Cardiovascular and Stroke Nursing
Jul 26, 2019·A&A Practice·Nicholas D BlackKi Jinn Chin
Oct 31, 2019·Heart·Fred H Rodriguez, Wendy M Book
Feb 6, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·Richard J Ing, Mark D Twite
May 7, 2020·Current Opinion in Anaesthesiology·Pablo MottaLuis M Zabala
May 22, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Jared J CummingsSusan S Eagle
Dec 19, 2020·The Journal of ECT·Imoh Z IkpotHamdy Awad
May 24, 2021·Journal of Cardiothoracic and Vascular Anesthesia·John Richard McNamaraMichael Griffin
Jul 29, 2021·JTCVS Techniques·Kazuhiro NagayamaJun Nakajima

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