Davis J T, Allen H D, Cohen D M, Teske D W, Cassidy S C, Craenen J M, Wheller J J, Franklin W H, Chan D P, Rowland D G
Department of Surgery, Ohio State University.
Thorac Cardiovasc Surg. 1994 Jun;42(3):148-51. doi: 10.1055/s-2007-1016477.
Current practice patterns relating to pediatric cardiac catheterization (Cath) have considerable economic implications. The decreased cost and risk of noninvasive methods such as echocardiography (ECHO) and magnetic resonance imaging (MRI) make them attractive alternative diagnostic methods if they can sufficiently define cardiac anatomy and the need for surgical intervention. We reviewed a recent cardiac surgical series of 465 cases in 1.5 years to determine how often a Cath was performed prior to surgery. Overall, 59.4% of the procedures were preceded by a Cath (76% of open heart operations, and 26.7% of closed heart operations). We specify the situations where we feel enough information is available for preoperative decision making from non-invasive testing, and we present some diagnostic pitfalls that have been encountered.
当前与小儿心脏导管插入术（心导管术）相关的实践模式具有重大经济意义。超声心动图（ECHO）和磁共振成像（MRI）等非侵入性方法成本降低且风险减小，如果它们能够充分明确心脏解剖结构以及手术干预的必要性，就会成为有吸引力的替代诊断方法。我们回顾了最近1.5年内465例心脏外科手术病例系列，以确定手术前进行心导管术的频率。总体而言，59.4%的手术前进行了心导管术（心脏直视手术的76%，以及心脏闭式手术的26.7%）。我们明确了我们认为通过非侵入性检查可获得足够信息用于术前决策的情况，并介绍了一些遇到的诊断陷阱。
