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Using Revolution™ CT Angiography to Assess Complex Coarctation of the Aorta in Infants and Its Association with a Prolonged Postoperative Cardiac ICU Stay
Xiao, Hui-Jun; Zhan, A-Lai; Huang, Rui-Gang; Lin, Wei-Hua; Huang, Qing-Wen.
Afiliação
  • Xiao, Hui-Jun; Zhangzhou Affiliated Hospital of Fujian Medical University. Department of Radiology. Zhangzhou. CN
  • Zhan, A-Lai; Zhangzhou Affiliated Hospital of Fujian Medical University. Department of Radiology. Zhangzhou. CN
  • Huang, Rui-Gang; Zhangzhou Affiliated Hospital of Fujian Medical University. Department of Radiology. Zhangzhou. CN
  • Lin, Wei-Hua; Zhangzhou Affiliated Hospital of Fujian Medical University. Department of Radiology. Zhangzhou. CN
  • Huang, Qing-Wen; Zhangzhou Affiliated Hospital of Fujian Medical University. Department of Radiology. Zhangzhou. CN
Rev. bras. cir. cardiovasc ; Rev. bras. cir. cardiovasc;38(5): e20220402, 2023. tab, graf
Article em En | LILACS-Express | LILACS | ID: biblio-1449577
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

Objective:

To investigate the accuracy of aortic dimensions measured by Revolution™ computed tomography (CT) in infants with complex coarctation of the aorta (CoA) and to further analyze the utility of the degree of CoA in predicting the risk of prolonged postoperative cardiac intensive care unit stay.

Methods:

A total of 30 infants with complex CoA who underwent surgical correction from January 2020 to July 2022 were retrospectively enrolled. General demographic data, preoperative imaging, and perioperative outcomes were collected. Univariate and multivariate analyses were performed to investigate predictors of prolonged postoperative cardiac intensive care unit stay, and the reliability of the CT measurements was assessed by the intraclass correlation coefficient.

Results:

All infants were divided into a mild or severe CoA group. The duration of mechanical ventilation and cardiac intensive care unit stay in the mild CoA group were significantly lower than those in the severe CoA group. After multivariate analysis, we found that the degree of CoA and age at surgery were significant predictors of prolonged postoperative cardiac intensive care unit stay. The intraclass correlation coefficient between CT measurements and intraoperative measurements was between 0.937 and 0.975, and the measurement results had good reliability.

Conclusion:

CT angiography can provide a comprehensive and accurate preoperative evaluation of aortic dimensions measured in infants with complex CoA. The degree of CoA is an independent risk factor for prolonged postoperative cardiac intensive care unit stay in infants with complex CoA.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Tipo de estudo: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Rev. bras. cir. cardiovasc Assunto da revista: CARDIOLOGIA / CIRURGIA GERAL Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Tipo de estudo: Prognostic_studies / Risk_factors_studies Idioma: En Revista: Rev. bras. cir. cardiovasc Assunto da revista: CARDIOLOGIA / CIRURGIA GERAL Ano de publicação: 2023 Tipo de documento: Article País de afiliação: China País de publicação: Brasil