621 Bosnian Registry of Therapeutic Cardiac Catheterisation

Introduction Cardiac catheterization (CC) in treatment of congenital heart disease (CHD) nowdays has much more therapeutic, then diagnostic importance. In Bosnia and Herzegovina post war CC is in process of development. Aim: To present a review of Bosnian registry of cardiac therapeutic catheterization cases. Subjects and Methods Patients with CHD during May 1998- February 2010 hospitalised at Paediatric clinic were included. An evaluation of pts was conducted by history, physical examination, chest X-ray, electrocardiograms and Colour Doppler echocardiogram. The need for cardiac catheterization was primarily determined by paediatric cardiologist or suggested by paediatric cardiac surgeon. Results: 180 cardiac catheterizations were performed. Diagnostic catheterization was done in 155(86%) and therapeutic in 25 (14%) patients, with age ranging from 2 days to 21 years, mean 5,3 years. 53% pts were females. Indications for therapeutic catheterizations were:pulmonary valve stenosis 11 (44%), patent ductus arteriosus (PDA) 8 (32%), aortic valve stenosis (AS), coarctation of aorta 3(12%), atrial septal defect closure 2 (8%), one extraction of foreign body from right ventricle. CC team did five successful balloon atrial septostomy. Duration of the performing catheterization lasted for PDA 13′, PS 8,4′ and AS 10,3′. Complication was: coil to the right branch of pulmonary artery (2), unsuccessful pulmonary valve balloon dilatation with displastic valve (1), airway spasm during anethesia (1). Conclusion: A limited experience with cardiac catheterisation in patients presenting with CHD has been reported in an attempt to highlight the importance of advancements in the use of this technology in Bosnia and Herzegovina.