February 1, 1999Catheterization and Cardiovascular Interventions
Percutaneous translumbar cardiac catheterization and central venous line insertion: An alternative approach in children with congenital heart disease
Why the study?
Is the percutaneous translumbar approach feasible for cardiac catheterization and central line insertion in children with congenital heart disease and limited venous access?
Population
3 children with congenital heart disease and major problems with venous access
Design
Case_series
Authors
Discussion
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Member takes
Implication
Provides a potential option when standard access fails; leaves open reproducibility, safety, and efficacy in larger cohorts.
Structured PICO
Is the percutaneous translumbar approach feasible for cardiac catheterization and central line insertion in children with congenital heart disease and limited venous access?
P
Population
3 children with congenital heart disease and major problems with venous access
I
Intervention
Percutaneous translumbar approach for cardiac catheterization and/or in-dwelling central line insertion
O
Outcome
Feasibility of diagnostic hemodynamic studies, transcatheter delivery of an intravascular stent for left pulmonary artery (LPA) stenosis, and chronic central venous line insertion
The percutaneous translumbar approach provides a viable alternative for cardiac catheterization and central venous access in children with congenital heart disease when conventional routes are unavailable.
Limitations
- interventionalist's unfamiliarity with technique
- awkward patient positioning
- technically more difficult than transhepatic
- potential injury to kidney and bowel
Cite This Study
Cheatham et al. (1999) studied this question.