PMID- 25500227 OWN - NLM STAT- MEDLINE DCOM- 20150209 LR - 20220317 IS - 1558-3597 (Electronic) IS - 0735-1097 (Linking) VI - 64 IP - 23 DP - 2014 Dec 16 TI - Procedural results and safety of common interventional procedures in congenital heart disease: initial report from the National Cardiovascular Data Registry. PG - 2439-51 LID - S0735-1097(14)06536-X [pii] LID - 10.1016/j.jacc.2014.09.045 [doi] AB - BACKGROUND: The National Cardiovascular Data Registry (NCDR) launched the IMPACT (Improving Pediatric and Adult Congenital Treatment) Registry in 2010. By 2013, its patient enrollment exceeded that of other current and historical congenital catheterization registries. OBJECTIVES: This study sought to describe procedural results and safety of 6 common congenital interventions performed in patients enrolled during the IMPACT Registry's initial periods. METHODS: With specified exclusions, we compiled registry data from patients enrolled in the IMPACT Registry from January 2011 through March 2013 who underwent 1 of the following isolated procedures: device closure of atrial septal defect (ASD); device closure of patent ductus arteriosus (PDA); pulmonary valvuloplasty; aortic valvuloplasty; coarctation of the aorta angioplasty and stenting; and pulmonary artery stenting. Patient data, procedural data and results, and adverse events (AEs) were reviewed and described. RESULTS: In 4,152 catheterizations, 1 isolated procedure was reported. There were 1,286 single-ASD procedures, 1,375 PDA procedures, 270 "typical" pulmonary valve procedures, 305 aortic valve procedures, 671 aortic procedures, and 245 pulmonary artery procedures. The reported procedure was performed in >95% of catheterizations. Stated outcomes were accomplished in >98% of ASD and PDA procedures, but less commonly in the others, with coarctation angioplasty procedures being the least successful (51%). Reported major AE rates ranged from 0% to 3.3%; total AE rates ranged from 5.3% to 24.3%. CONCLUSIONS: Contemporary community practice, procedural outcomes, and safety for 6 common congenital interventional procedures are reported. These benchmarks may be compared with individual center results and historical single-center and multicenter results. CI - Copyright (c) 2014 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved. FAU - Moore, John W AU - Moore JW AD - Division of Cardiology, Department of Pediatrics, Rady Children's Hospital, University of California-San Diego, San Diego, California. Electronic address: jmoore@rchsd.org. FAU - Vincent, Robert N AU - Vincent RN AD - Division of Cardiology, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University, Atlanta, Georgia. FAU - Beekman, Robert H 3rd AU - Beekman RH 3rd AD - Division of Cardiology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio. FAU - Benson, Lee AU - Benson L AD - Division of Cardiology, Department of Pediatrics, Toronto Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. FAU - Bergersen, Lisa AU - Bergersen L AD - Department of Cardiology, Boston Children's Hospital, Harvard University, Boston, Massachusetts. FAU - Holzer, Ralf AU - Holzer R AD - Division of Cardiology, Department of Pediatrics, Nationwide Children's Hospital, Ohio State University College of Medicine, Columbus, Ohio. FAU - Jayaram, Natalie AU - Jayaram N AD - Division of Cardiology, Department of Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Missouri; Saint Luke's Mid America Heart Institute, Kansas City, Missouri. FAU - Jenkins, Kathy AU - Jenkins K AD - Department of Cardiology, Boston Children's Hospital, Harvard University, Boston, Massachusetts. FAU - Li, Yan AU - Li Y AD - Saint Luke's Mid America Heart Institute, Kansas City, Missouri. FAU - Ringel, Richard AU - Ringel R AD - Division of Cardiology, Department of Pediatrics, Johns Hopkins Children's Center, Johns Hopkins University, Baltimore, Maryland. FAU - Rome, Jonathan AU - Rome J AD - Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania. FAU - Martin, Gerard R AU - Martin GR AD - Children's National Health System, George Washington University, Washington, DC. CN - NCDR IMPACT Steering Committee LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Am Coll Cardiol JT - Journal of the American College of Cardiology JID - 8301365 SB - IM CIN - J Am Coll Cardiol. 2014 Dec 16;64(23):2452-4. PMID: 25500228 MH - Adolescent MH - Angioplasty, Balloon/adverse effects/statistics & numerical data MH - Arterial Occlusive Diseases/surgery MH - Balloon Valvuloplasty/adverse effects/statistics & numerical data MH - Child MH - Child, Preschool MH - Heart Defects, Congenital/epidemiology/*therapy MH - Humans MH - Infant MH - Infant, Newborn MH - Length of Stay/statistics & numerical data MH - Pulmonary Artery/surgery MH - Pulmonary Valve Insufficiency/etiology/therapy MH - Registries MH - Septal Occluder Device/statistics & numerical data MH - Stents MH - United States/epidemiology MH - Ventricular Dysfunction, Left/etiology/therapy MH - Ventricular Dysfunction, Right/etiology/therapy MH - Young Adult OTO - NOTNLM OT - ASD closure OT - PDA closure OT - congenital cardiac interventions OT - congenital valvuloplasty OT - large-vessel stenting OT - registry EDAT- 2014/12/17 06:00 MHDA- 2015/02/11 06:00 CRDT- 2014/12/16 06:00 PHST- 2014/05/17 00:00 [received] PHST- 2014/09/08 00:00 [revised] PHST- 2014/09/16 00:00 [accepted] PHST- 2014/12/16 06:00 [entrez] PHST- 2014/12/17 06:00 [pubmed] PHST- 2015/02/11 06:00 [medline] AID - S0735-1097(14)06536-X [pii] AID - 10.1016/j.jacc.2014.09.045 [doi] PST - ppublish SO - J Am Coll Cardiol. 2014 Dec 16;64(23):2439-51. doi: 10.1016/j.jacc.2014.09.045.