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Revista Mexicana de Enfermería Cardiológica

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2010, Number 3

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Rev Mex Enf Cardiol 2010; 18 (3)

Acute arterial ischemia in pediatric patients due to percutaneous cardiovascular procedure: incidence, causes and evolution

Granados LNI, Ávila QMG
Full text How to cite this article

Language: Spanish
References: 11
Page: 55-59
PDF size: 268.06 Kb.


Key words:

Acute arterial insufficiency, pediatric patient, thrombosis, embolism, interventionism.

ABSTRACT

Introduction: Acute peripheral arterial ischemia (APAI) consists of the sudden interruption of blood supply to certain part of the human body through: obstruction, artery-wall weakening or vein-valve harm, being the etiology produced by organic- or functional-type causes. Objective: To determine the incidence of acute peripheral arterial ischemia over pediatric patients as a consequence of a percutaneous cardiovascular procedure. Methodology: A transversal and retrospective study was carried out on seventeen patients subjected to interventionism, from N = 621 patients attended at the Hemodynamics and Cardiopediatrics Services in the «Ignacio Chávez» National Institute of Cardiology, from January the 1st, 2008, to may 31st, 2009. The study included patients ranging from 0 to 2 years old, who were practiced diagnostic and therapeutic cardiac catheterization, and presented Acute Peripheral Arterial Ischemia. The data analysis was performed through the SPSS v. 17 statistical program, the results were expressed by means of summary measurements. Spearman’s Correlation was employed for puncture number and causes of Acute Arterial Ischemia. Results: The sample (n = 17) represents an incidence of 2.73%, prevailing the male sex in a 53%, and affecting pediatric patients from 0 to 4 months old. It was found a positive Sperman’s Correlation between number of punctures and APAI causes. Conclusion: The factors related to APAI are mostly preventable, so proper risk-factor detection is necessary in order to prevent peripheral vascular complications.


REFERENCES

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Rev Mex Enf Cardiol. 2010;18