title: Procedural results and safety of common interventional procedures in congenital heart disease: initial report from the National Cardiovascular Data Registry.
abstract: BACKGROUND
  The National Cardiovascular Data Registry (NCDR) launched the IMPACT (Improving Pediatric and Adult Congenital Treatment) Registry in 2010. By 2013, its patient enrollment exceeded that of other current and historical congenital catheterization registries.
  
  
  OBJECTIVE
  This study sought to describe procedural results and safety of 6 common congenital interventions performed in patients enrolled during the IMPACT Registry's initial periods.
  
  
  METHODS
  With specified exclusions, we compiled registry data from patients enrolled in the IMPACT Registry from January 2011 through March 2013 who underwent 1 of the following isolated procedures: device closure of atrial septal defect (ASD); device closure of patent ductus arteriosus (PDA); pulmonary valvuloplasty; aortic valvuloplasty; coarctation of the aorta angioplasty and stenting; and pulmonary artery stenting. Patient data, procedural data and results, and adverse events (AEs) were reviewed and described.
  
  
  RESULTS
  In 4,152 catheterizations, 1 isolated procedure was reported. There were 1,286 single-ASD procedures, 1,375 PDA procedures, 270 "typical" pulmonary valve procedures, 305 aortic valve procedures, 671 aortic procedures, and 245 pulmonary artery procedures. The reported procedure was performed in >95% of catheterizations. Stated outcomes were accomplished in >98% of ASD and PDA procedures, but less commonly in the others, with coarctation angioplasty procedures being the least successful (51%). Reported major AE rates ranged from 0% to 3.3%; total AE rates ranged from 5.3% to 24.3%.
  
  
  CONCLUSIONS
  Contemporary community practice, procedural outcomes, and safety for 6 common congenital interventional procedures are reported. These benchmarks may be compared with individual center results and historical single-center and multicenter results.
authors.affiliation: Division of Cardiology, Department of Pediatrics, Rady Children's Hospital, University of California-San Diego, San Diego, California. Electronic address: jmoore@rchsd.org.
authors.forename: John W
authors.initials: JW
authors.lastname: Moore
authors.affiliation: Division of Cardiology, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University, Atlanta, Georgia.
authors.forename: Robert N
authors.initials: RN
authors.lastname: Vincent
authors.affiliation: Division of Cardiology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Beekman
authors.affiliation: Division of Cardiology, Department of Pediatrics, Toronto Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Lee
authors.initials: L
authors.lastname: Benson
authors.affiliation: Department of Cardiology, Boston Children's Hospital, Harvard University, Boston, Massachusetts.
authors.forename: Lisa
authors.initials: L
authors.lastname: Bergersen
authors.affiliation: Division of Cardiology, Department of Pediatrics, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, Ohio.
authors.forename: Ralf
authors.initials: R
authors.lastname: Holzer
authors.affiliation: Division of Cardiology, Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Missouri; Saint Luke's Mid America Heart Institute, Kansas City, Missouri.
authors.forename: Natalie
authors.initials: N
authors.lastname: Jayaram
authors.affiliation: Department of Cardiology, Boston Children's Hospital, Harvard University, Boston, Massachusetts.
authors.forename: Kathy
authors.initials: K
authors.lastname: Jenkins
authors.affiliation: Saint Luke's Mid America Heart Institute, Kansas City, Missouri.
authors.forename: Yan
authors.initials: Y
authors.lastname: Li
authors.affiliation: Division of Cardiology, Department of Pediatrics, Johns Hopkins Children's Center, Johns Hopkins University, Baltimore, Maryland.
authors.forename: Richard
authors.initials: R
authors.lastname: Ringel
authors.affiliation: Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Rome
authors.affiliation: Children's National Health System, George Washington University, Washington, DC.
authors.forename: Gerard R
authors.initials: GR
authors.lastname: Martin
mesh_terms: D000293:Adolescent; D000800:Angioplasty, Balloon / Q000009:adverse effects / Q000706:statistics & numerical data; D001157:Arterial Occlusive Diseases / Q000601:surgery; D063126:Balloon Valvuloplasty / Q000009:adverse effects / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D006330:Heart Defects, Congenital / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay / Q000706:statistics & numerical data; D011651:Pulmonary Artery / Q000601:surgery; D011665:Pulmonary Valve Insufficiency / Q000209:etiology / Q000628:therapy; D012042:Registries; D055989:Septal Occluder Device / Q000706:statistics & numerical data; D015607:Stents; D014481:United States / Q000453:epidemiology; D018487:Ventricular Dysfunction, Left / Q000209:etiology / Q000628:therapy; D018497:Ventricular Dysfunction, Right / Q000209:etiology / Q000628:therapy; D055815:Young Adult
keywords: ASD closure; PDA closure; congenital cardiac interventions; congenital valvuloplasty; large-vessel stenting; registry