Key result
Noninvasive preoperative echocardiographic diagnosis was correct in 96% of 2,788 children undergoing surgery for congenital heart defects.
Why the study?
Does noninvasive preoperative diagnosis without catheterization provide accurate diagnosis and safe surgical outcomes in children with congenital heart defects?
Population
2,788 children consecutively operated for congenital heart defects (CHD) between 1986 and 1992
Comparison
Noninvasive preoperative diagnostics without… vs Preoperative invasive catheterization and…
Design
Cohort
Follow-up
early postoperative
Authors
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Supports avoiding catheterization for preoperative diagnosis in many children; extends observational data but leaves open randomized outcome confirmation.
Observational (n=2,788)
Does noninvasive preoperative diagnosis without catheterization provide accurate diagnosis and safe surgical outcomes in children with congenital heart defects?
Echocardiography combined with clinical assessment is highly accurate (96%) and sufficient for guiding cardiac surgery in many children with congenital heart defects, avoiding the need for invasive catheterization.
Marek et al. (2008) conducted an observational in Congenital heart defects (n=2,788). Noninvasive preoperative diagnostics (echocardiography) vs. Preoperative catheterization and angiography was evaluated on Accuracy of echocardiographic diagnosis. Noninvasive preoperative echocardiographic diagnosis was correct in 96% of 2,788 children undergoing surgery for congenital heart defects.
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