Anesthetic considerations for magnetic resonance imaging-guided right-heart catheterization in pediatric patients: A single institution experience

Nina Deutsch; Jonathan Swink; Andrew J. Matisoff; Laura J. Olivieri; Russell R. Cross; Andrew T. Waberski; Chinwe Unegbu; Ileen F. Cronin; Joshua P. Kanter; Jamie M. Schwartz

doi:10.1111/pan.13512

Anesthetic considerations for magnetic resonance imaging-guided right-heart catheterization in pediatric patients: A single institution experience

Nina Deutsch, Jonathan Swink, Andrew J. Matisoff, Laura J. Olivieri, Russell R. Cross, Andrew T. Waberski, Chinwe Unegbu, Ileen F. Cronin, Joshua P. Kanter, Jamie M. Schwartz

School of Medicine

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Cardiac catheterization is an integral part of medical management for pediatric patients with congenital heart disease. Owing to age and lack of cooperation in children who need this procedure, general anesthesia is typically required. These patients have increased anesthesia risk secondary to cardiac pathology. Furthermore, multiple catheterization procedures result in exposure to harmful ionizing radiation. Magnetic resonance imaging-guided right-heart catheterization offers decreased radiation exposure and diagnostic imaging benefits over traditional fluoroscopy but potentially increases anesthetic complexity and risk. We describe our early experience with anesthetic techniques and challenges for pediatric magnetic resonance imaging-guided right-heart catheterization.

Original language	English (US)
Pages (from-to)	8-15
Number of pages	8
Journal	Paediatric anaesthesia
Volume	29
Issue number	1
DOIs	https://doi.org/10.1111/pan.13512
State	Published - Jan 2019

Keywords

anesthesia for cardiac catheterization
cardiac MRI
congenital cardiac imaging
congenital heart disease
pediatric cardiac anesthesia
pediatric cardiac catheterization

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Anesthesiology and Pain Medicine

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10.1111/pan.13512

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Deutsch, N., Swink, J., Matisoff, A. J., Olivieri, L. J., Cross, R. R., Waberski, A. T., Unegbu, C., Cronin, I. F., Kanter, J. P., & Schwartz, J. M. (2019). Anesthetic considerations for magnetic resonance imaging-guided right-heart catheterization in pediatric patients: A single institution experience. Paediatric anaesthesia, 29(1), 8-15. https://doi.org/10.1111/pan.13512

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abstract = "Cardiac catheterization is an integral part of medical management for pediatric patients with congenital heart disease. Owing to age and lack of cooperation in children who need this procedure, general anesthesia is typically required. These patients have increased anesthesia risk secondary to cardiac pathology. Furthermore, multiple catheterization procedures result in exposure to harmful ionizing radiation. Magnetic resonance imaging-guided right-heart catheterization offers decreased radiation exposure and diagnostic imaging benefits over traditional fluoroscopy but potentially increases anesthetic complexity and risk. We describe our early experience with anesthetic techniques and challenges for pediatric magnetic resonance imaging-guided right-heart catheterization.",

keywords = "anesthesia for cardiac catheterization, cardiac MRI, congenital cardiac imaging, congenital heart disease, pediatric cardiac anesthesia, pediatric cardiac catheterization",

author = "Nina Deutsch and Jonathan Swink and Matisoff, {Andrew J.} and Olivieri, {Laura J.} and Cross, {Russell R.} and Waberski, {Andrew T.} and Chinwe Unegbu and Cronin, {Ileen F.} and Kanter, {Joshua P.} and Schwartz, {Jamie M.}",

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year = "2019",

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doi = "10.1111/pan.13512",

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AU - Deutsch, Nina

AU - Swink, Jonathan

AU - Matisoff, Andrew J.

AU - Olivieri, Laura J.

AU - Cross, Russell R.

AU - Waberski, Andrew T.

AU - Unegbu, Chinwe

AU - Cronin, Ileen F.

AU - Kanter, Joshua P.

AU - Schwartz, Jamie M.

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AB - Cardiac catheterization is an integral part of medical management for pediatric patients with congenital heart disease. Owing to age and lack of cooperation in children who need this procedure, general anesthesia is typically required. These patients have increased anesthesia risk secondary to cardiac pathology. Furthermore, multiple catheterization procedures result in exposure to harmful ionizing radiation. Magnetic resonance imaging-guided right-heart catheterization offers decreased radiation exposure and diagnostic imaging benefits over traditional fluoroscopy but potentially increases anesthetic complexity and risk. We describe our early experience with anesthetic techniques and challenges for pediatric magnetic resonance imaging-guided right-heart catheterization.

KW - anesthesia for cardiac catheterization

KW - cardiac MRI

KW - congenital cardiac imaging

KW - congenital heart disease

KW - pediatric cardiac anesthesia

KW - pediatric cardiac catheterization

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Anesthetic considerations for magnetic resonance imaging-guided right-heart catheterization in pediatric patients: A single institution experience

Abstract

Keywords

ASJC Scopus subject areas

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