Horký J, Yousof A M
Cesk Pediatr. 1989 Jul;44(7):417-9.
Catheterization of the right and left heart by the percutaneous technique, incl. Rashkind's septostomy, was performed in 1000 patients with body weights from 2 kg and above between 1977 and 1984. The technique of the examination is described. The patients belonged to the following age groups: 1st day to one year--28%, 1-5 years--28.6%, 6-15 years--31.9%, above 15 years--11.5%. The authors recommend to reduce the incidence of complications by continuous monitoring of the blood pressure during catheterization by means of an arterial catheter. As to complications, they recorded three deaths within 24 hours after catheterization: 2 infants and one adult patient, i.e. a mortality rate of 0.3% as compared with 1.5-3% reported in the literature. As to serious dysrhythmias, there was once ventricular tachycardia and one ventricular fibrillation. In two patients during angiocardiography the contrast substance was injected into the myocardium. Cardiac tamponade was described twice. In one infant on the second day after catheterization a thrombus was removed from the femoral artery. A computer proved useful for the calculation of haemodynamic data.
1977年至1984年间，对1000名体重在2千克及以上的患者采用经皮技术进行了左右心导管插入术，包括拉什金德房间隔造口术。描述了检查技术。患者属于以下年龄组：出生第一天至一岁——28%，1至5岁——28.6%，6至15岁——31.9%，15岁以上——11.5%。作者建议通过动脉导管在导管插入过程中持续监测血压来降低并发症的发生率。关于并发症，他们记录到导管插入术后24小时内有3例死亡：2例婴儿和1例成年患者，即死亡率为0.3%，而文献报道的死亡率为1.5%至3%。关于严重心律失常，曾有1例室性心动过速和1例心室颤动。在2例患者的心血管造影过程中，造影剂注入了心肌。心包填塞有2例报道。1例婴儿在导管插入术后第二天从股动脉取出了血栓。计算机被证明对血流动力学数据的计算很有用。
