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Emergency Interventional Cardiology in Children

  • Daisuke Kobayashi
  • Daniel R. Turner
  • Thomas J. Forbes
Chapter

Abstract

Though infrequent, the performance of an interventional cardiac procedure in an emergent setting can be lifesaving and indicated for various conditions. It is important for clinicians to assess the need to perform emergent catheterization procedures in infants and children in a timely fashion. Based on our experience and that reported in the literature, the seven most common procedures performed emergently on patients seen in the emergency department (ED) will be discussed. These procedures are pericardiocentesis, foreign body retrieval, transvenous pacing lead placement, recanalization of an acutely thrombosed modified Blalock-Taussig shunt, balloon valvuloplasty, balloon atrial septostomy, and intervention for an acute pulmonary embolism. Although most of these procedures require special technical skills, all clinicians need to be aware of their indications and treatment strategies. Timely recognition and subsequent mobilization of the interventional cardiology team are critical in achieving a successful outcome for emergent interventional procedures.

Keywords

Pericardiocentesis Foreign body retrieval Transvenous pacing lead placement Aortopulmonary shunt thrombosis Balloon valvuloplasty Balloon atrial septostomy Pulmonary embolism 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Daisuke Kobayashi
    • 1
    • 2
    • 3
  • Daniel R. Turner
    • 1
    • 2
    • 3
  • Thomas J. Forbes
    • 1
    • 2
    • 3
  1. 1.Department of PediatricsWayne State University School of MedicineDetroitUSA
  2. 2.Division of CardiologyChildren’s Hospital of MichiganDetroitUSA
  3. 3.Org NameChapel HillUSA

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