title: [Adverse events during diagnostic and therapeutic pediatric cardiac catheterization].
abstract: BACKGROUND
  The aim of this paper is to determine the frequency of adverse events during heart catheterization, in both categories diagnostic and therapeutic procedures in children.
  
  
  METHODS
  We review the clinical charts of those patients undergoing heart catheterization during the period from May 1 to October 31, 2014, in order to determine the frequency of adverse events presented within the first 24 hours after the procedure.
  
  
  RESULTS
  During the six month period, 143 procedures were performed, of which 126 met the inclusion criteria. According to the type of procedure we divide it in: diagnostic 68 (54%) and therapeutic 58 (46%). Adverse effects were developed in 16 patients (13%), 11.7% during diagnostic and 14% within the therapeutic procedures. The adverse events were classified as serious in 7 (5.5%), endangering the live in 5 (3.9%) and catastrophic in only one (0.79%). Those factors associated with the development of an adverse event were: age less than one year-old (OR = 5.45), unscheduled admission to the procedure (OR = 1.2) and use of inotropic drugs (OR = 7).
  
  
  CONCLUSIONS
  Cardiac catheterization performed in our facility is a safe procedure, with a percentage of adverse events similar to that reported worldwide. It is essential to make a proper and comprehensive assessment of the patient before the procedure, considering stratification according to risk categories and assessing the state of gravity of the children.
authors.affiliation: Departamento de Pediatría Médica, Hospital de Pediatría, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México. albtlacuilo@yahoo.com.
authors.forename: Armando
authors.initials: A
authors.lastname: Zepeda-Arámbula
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Gutiérrez-Cobian
authors.forename: Jorge Luis
authors.initials: JL
authors.lastname: Villatoro-Fernández
authors.forename: Sandra Livier
authors.initials: SL
authors.lastname: Pacheco-López
authors.forename: Alberto
authors.initials: A
authors.lastname: Tlacuilo-Parra
mesh_terms: D000293:Adolescent; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008800:Mexico; D017063:Outcome Assessment, Health Care; D010372:Pediatrics; D012189:Retrospective Studies; D012307:Risk Factors
keywords: Congenital heart defects; Mortality; Postoperative complications