Current outlook after 4 years since the beginning of interventional cardiology in congenital heart disease in Chiapas State




Roberto Mijangos-Vázquez, Departamento de Cardiología Intervencionista Pediátrica, Hospital de Especialidades Pediátricas, Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chis., México
Rogelio Hernández-Reyes, Departamento de Cardiología Intervencionista Pediátrica, Hospital de Especialidades Pediátricas, Universidad Autónoma de Chiapas, Tuxtla Gutiérrez, Chis., México


Introduction: As a result of technological advances, more and more types of congenital heart diseases are susceptible to being treated in the hemodynamic laboratory. The sum of more advanced imaging techniques as well as the development of a diversity of devices specially manufactured for use in children has allowed a better selection of patients and therefore that many of them can be corrected through cardiac catheterization or some patients with more complex congenital heart diseases require fewer surgical procedures or, if they do require them, that these may be of less complexity and risk. Objective: We decided to show the global experience of the interventionism in congenital heart diseases in Chiapas from its inception to recent days. Methods: Through a retrospective study from April 2016 to August 2020, we reviewed the electronic files of the total of patients who underwent cardiac catheterism during the same period of time. Results: A total of 510 procedures were performed, 300 in female patients, with a median age of 4 years (8 days - 77 years). Of the total procedures, 67 (13.1%) were diagnostic catheterizations and 443 (86.9%) were interventional. Conclusions: Cardiac catheterization in congenital heart disease in Chiapas has become a very valuable option with encouraging results which represents a possible decentralization in the care of congenital heart diseases in our country.



Keywords: Diagnostic catheterization. Interventional catheterization. Congenital heart disease. Chiapas.