Anesthetic considerations for magnetic resonance imaging‐guided right‐heart catheterization in pediatric patients: A single institution experience. Issue 1 (29th October 2018)

• Record Type: Journal Article
• Authors: Deutsch, Nina; Swink, Jonathan; Matisoff, Andrew J.; Olivieri, Laura J.; Cross, Russell R.; Waberski, Andrew T.; Unegbu, Chinwe; Cronin, Ileen F.; Kanter, Joshua P.; Schwartz, Jamie M.
• Is Part Of: Paediatric anaesthesia. Volume 29:Issue 1(2019:Jan.)
• Page Start: 8
• Page End: 15
• Publication Date: 2018-10-29
• Subjects: anesthesia for cardiac catheterization -- cardiac MRI -- congenital cardiac imaging -- congenital heart disease -- pediatric cardiac anesthesia -- pediatric cardiac catheterization; Pediatric anesthesia -- Periodicals; 617.96798
• DOI: 10.1111/pan.13512
• Languages: English
• ISSNs: 1155-5645

Abstract

Summary: 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.