title: Cardiovascular magnetic resonance imaging in congenital heart disease as an alternative to diagnostic invasive cardiac catheterization: a single center experience.
abstract: OBJECTIVE
  The study aims to assess whether the increasing use of cardiovascular magnetic resonance imaging in place of diagnostic cardiac catheterization in the management of pediatric patients with congenital heart disease has had an impact on pediatric cardiac care.
  
  
  METHODS
  Retrospective analysis of data was used.
  
  
  METHODS
  The study was performed at the Evelina Children's Hospital Cardiology Department. PATIENTS. : Elective diagnostic cardiac catheterization or magnetic resonance imaging (MRI) from 2005-2010 are included (n = 896).
  
  
  METHODS
  Indication, length of stay, and incidence of complications were recorded. In cases used to plan surgery, 30-day survival following the procedure was recorded. Surgical outcomes were compared between the two groups. Surgical outcomes planned using MRI were compared with national outcomes from Congenital Cardiac Audit Database.
  
  
  RESULTS
  For catheterizations (50 patients, [31 male, median age 3 years, interquartile range 1 to 12]), median hospital stay was 1 day (interquartile range 0 to 3), and complications occurred in 11 (22%). Median hospital stay for MRI (846 patients [517 male, median age 3 years, interquartile range 0 to 9]) was significantly shorter: 0 days (interquartile range 0 to 1, P <.001), with fewer complications (16 [1.9%], P <.0001). Twenty-four catheter and 283 MRI patients underwent surgery within 18 months. One catheter patient (2.0%) and four MRI patients (1.4%) died within 30 days (P =.48).
  
  
  CONCLUSIONS
  Replacing catheterization with cardiovascular magnetic resonance imaging has resulted in reduced rates of complication and shorter hospital stays without a significant impact on surgical outcome.
authors: King's College London BHF Centre, Division of Imaging Science, Biomedical Research Centre, Guy's and St. Thomas' NHS Foundation Trust, London, United Kingdom. emily.l.heathfield@kcl.ac.uk
authors: Emily
authors: E
authors: Heathfield
authors: Tarique
authors: T
authors: Hussain
authors: Shakeel
authors: S
authors: Qureshi
authors: Israel
authors: I
authors: Valverde
authors: Thomas
authors: T
authors: Witter
authors: Abdel
authors: A
authors: Douiri
authors: Aaron
authors: A
authors: Bell
authors: Philipp
authors: P
authors: Beerbaum
authors: Reza
authors: R
authors: Razavi
authors: Gerald F
authors: GF
authors: Greil
mesh_terms: D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D016507:Cardiology Service, Hospital; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology / Q000601:surgery; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007902:Length of Stay; D008131:London; D008279:Magnetic Resonance Imaging; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome
keywords: Cardiovascular Magnetic Resonance Imaging; Congenital Heart Disease; Pediatric Cardiology