Anesthetic considerations for magnetic resonance imaging‐guided right‐heart catheterization in pediatric patients: A single institution experience

• Published in: Pediatric anesthesia Vol. 29; no. 1; pp. 8 - 15
• Main Authors: Deutsch, Nina, Swink, Jonathan, Matisoff, Andrew J., Olivieri, Laura J., Cross, Russell R., Waberski, Andrew T., Unegbu, Chinwe, Cronin, Ileen F., Kanter, Joshua P., Schwartz, Jamie M.
• Format: Journal Article
• Language: English
• Published: France Wiley Subscription Services, Inc 01-01-2019
• Subjects: Adolescent; Anesthesia; anesthesia for cardiac catheterization; Anesthesia, General - methods; Cardiac Catheterization - methods; cardiac MRI; Cardiac Surgical Procedures - methods; Catheters; Child; Child, Preschool; congenital cardiac imaging; congenital heart disease; Female; Fluoroscopy; Heart; Heart Defects, Congenital - diagnostic imaging; Heart Defects, Congenital - surgery; Humans; Intubation; Magnetic Resonance Imaging, Interventional - methods; Male; NMR; Nuclear magnetic resonance; pediatric cardiac anesthesia; pediatric cardiac catheterization; Pediatrics; Young Adult; anesthesia for cardiac catheterization; congenital heart disease; congenital cardiac imaging; pediatric cardiac catheterization; pediatric cardiac anesthesia; cardiac MRI
• ISSN: 1155-5645; 1460-9592
• DOI: 10.1111/pan.13512

Summary
Cardiac catheterization is an integral part of medical management for pediatric patients with congenital heart disease. Owing to age and lack of cooperation in children who need this procedure, general anesthesia is typically required. These patients have increased anesthesia risk secondary to cardiac pathology. Furthermore, multiple catheterization procedures result in exposure to harmful ionizing radiation. Magnetic resonance imaging‐guided right‐heart catheterization offers decreased radiation exposure and diagnostic imaging benefits over traditional fluoroscopy but potentially increases anesthetic complexity and risk. We describe our early experience with anesthetic techniques and challenges for pediatric magnetic resonance imaging‐guided right‐heart catheterization.