Endovascular correction in neonates and infants with critical congenital heart disease showed acceptable perioperative stability with 8.5% mortality after balloon aortic valvuloplasty and 0% mortality after balloon angioplasty for coarctation but 46.4% reintervention rate for recoarctation.
Observational (n=139)
No
Does individualized anesthetic management provide safe perioperative conditions for endovascular correction of critical congenital heart disease in neonates and infants?
Individualized anesthetic strategies, including ketamine-based sedation, enable safe and hemodynamically stable transcatheter interventions in neonates and infants with critical congenital heart disease.
Introduction Critical congenital heart disease in neonates and infants requires urgent intervention and is associated with signif- icant perioperative instability. Catheter-based procedures are increasingly used as alternatives to open surgery; however, anesthetic management strategies remain insuf- ficiently characterized. This study aimed to evaluate anesthesia and critical care approaches during transcatheter interventions in early childhood. Materials and Methods Neonates and infants undergoing endovascular correction of critical congenital heart defects were included. Clini- cal assessment, instrumental diagnostics, and hemody- namic monitoring were applied. Anesthesia consisted of combined sedation using ketamine and local anesthesia with anticoagulation using heparin. Hemodynamic stabil- ity, ventilatory requirements, and early complications were assessed. Results Anesthetic management maintained stable hemodynam- ics in most patients. No major anesthesia-related compli- cations were observed. Procedures were well tolerated and required minimal respiratory support. Conclusion Optimized anesthesia strategies enable safe endovascular interventions in neonates and infants with critical con- genital heart disease. These findings highlight the essen- tial role of pediatric anesthesiology in improving periop- erative outcomes.
Imanov et al. (Sun,) conducted a observational in Neonates and infants under one year of age with critical congenital heart disease undergoing endovascular correction (n=139). Endovascular correction of critical congenital heart defects was evaluated on Early perioperative outcomes including hemodynamic stability, complications, ventilatory support requirements, and mortality. Endovascular correction in neonates and infants with critical congenital heart disease showed acceptable perioperative stability with 8.5% mortality after balloon aortic valvuloplasty and 0% mortality after balloon angioplasty for coarctation but 46.4% reintervention rate for recoarctation.