Carotid Artery Cut-Down in Pediatric Cardiac Catheterization: When and How?

Background: Vascular access used for pediatric cardiac catheterization is one of the most important factors that affects success procedure. We aimed to compare effect, success, and complications catheterizations performed by carotid cut-down or femoral puncture in newborns young infants. Methods: included who underwent our department between 28 January 2017 15 April 2021. These patients balloon aortic valvuloplasty, coarctation angioplasty, ductal stenting, diagnostic procedures arch pathologies, modified Blalock-Taussig in-shunt intervention. Patients were divided into two groups: (group = 1) (CC, group 2). Results: Seventy-two 64 patients; 32 (44.4%) via approach 40 (55.6%) approach. Sixteen (22.2%) 56 (77.8%) interventional. CC was 13 (32.5%) with failed had shorter durations procedure, vascular access, anesthesia, compared (80.9 116.2 min, p 0.001; 12.9 22.5 140.9 166.6 0.001, respectively). fewer than did (2.5% 21.8%, respectively; 0.01); larger sheats (p 0.028). Conclusion: The artery can be successfully as a primary route, particularly small body weight require rapid stenting vertical duct.