title: Utility and Safety of Combined Interventional Catheterization and Electrophysiology Procedures in a Children's Hospital.
abstract: BACKGROUND
  Interventional cardiac catheterization (cath) and electrophysiology (EP) procedures are not routinely performed together. There are several perceived barriers affecting this practice, though there are also advantages for both the patient and practitioner to a combined approach.
  
  
  METHODS
  This was a single-center retrospective study reviewing combined cath and EP procedures with a preprocedural intention to intervene at Texas Children's Hospital from 2001 to 2014. We excluded procedures in which the intended procedure was purely diagnostic in nature.
  
  
  RESULTS
  A total of 121 patients requiring 125 procedures were identified, of which 61 patients underwent 62 procedures that met our inclusion criteria. Potential subgroups of interest included adult congenital heart disease patients (26% of cohort), single ventricle anatomy (34%), and heterotaxy (19%) and collectively 58% of procedures involved a patient in one of these groups. The combined nature of the procedure did not preclude a cath or EP intervention in any patient. There were no mortalities. There were three adverse events, affecting 4.8% of procedures.
  
  
  CONCLUSIONS
  Combined interventional cardiac cath and EP procedures in pediatric patients and those with congenital heart disease can be performed safely in a high-volume center. These combined procedures save patients the risk and inconvenience of multiple procedures, and further investigation into cost savings is warranted.
authors.affiliation: The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors.forename: S Yukiko
authors.initials: SY
authors.lastname: Asaki
authors.affiliation: Department of Pediatrics, Children's Hospital of Illinois, Peoria, Illinois.
authors.forename: Jeffrey W
authors.initials: JW
authors.lastname: Orcutt
authors.affiliation: The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors.forename: Christina Y
authors.initials: CY
authors.lastname: Miyake
authors.affiliation: The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors.forename: Henri
authors.initials: H
authors.lastname: Justino
authors.affiliation: The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors.forename: Caridad M
authors.initials: CM
authors.lastname: de la Uz
authors.affiliation: The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Kim
authors.affiliation: The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors.forename: Santiago O
authors.initials: SO
authors.lastname: Valdes
authors.affiliation: The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
authors.forename: Athar M
authors.initials: AM
authors.lastname: Qureshi
mesh_terms: D000293:Adolescent; D000328:Adult; D006328:Cardiac Catheterization; D017115:Catheter Ablation / Q000401:mortality* / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D022062:Electrophysiologic Techniques, Cardiac / Q000401:mortality* / Q000706:statistics & numerical data*; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery*; D006776:Hospitals, Pediatric; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D061214:Patient Safety; D011183:Postoperative Complications / Q000401:mortality* / Q000517:prevention & control; D012307:Risk Factors; D015996:Survival Rate; D013781:Texas / Q000453:epidemiology; D055815:Young Adult
keywords: ablation; electrophysiology - clinical; pediatrics