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Pediatric Cardiology

, Volume 26, Issue 2, pp 154–158 | Cite as

Is Routine Cardiac Catheterization Necessary in the Management of Patients with Single Ventricles Across Staged Fontan Reconstruction? No!

  • M.A. FogelEmail author
Article

Abstract

With the advent of cardiac magnetic resonance imaging and high-resolution echocardiography, cardiac catheterization is unnecessary in clinical protocols in the “routine” single ventricle patient. Catheterization adds little to clinical care in these cases, and there are significant risks and costs associated with it. Catheterization should be reserved for cases in which noninvasive evaluations are equivocal, conflictory, demonstrate deterioration, or needed for intervention. This article delineates the role of noninvasive evaluations relative to cardiac catheterization in the routine single ventricle patient.

Keywords

Cardiac catheterization Magnetic resonance imaging Echocardiography Single ventricle Pediatric cardiology Risk/benefit 

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  1. 1.Division of Cardiology, Department of Pediatrics and the Department of Radiology The Children’s Hospital of PhiladelphiaPhiladelphiaUSA
  2. 2.Departments of Pediatrics and RadiologyThe University of Pennsylvania School of MedicinePhiladelphiaUSA

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