Perioperative risk factors for cone reconstruction of Ebstein's anomaly
10.3760/cma.j.issn.1001-4497.2019.05.008
- VernacularTitle:三尖瓣下移畸形锥形成形术围手术期危险因素分析
- Author:
Yao YANG
1
;
Yang LIU
;
Gang LI
;
Pei CHENG
;
Junwu SU
;
Yinglong LIU
;
Xiangming FAN
Author Information
1. 首都医科大学附属北京安贞医院小儿心脏中心 100029
- Keywords:
Cone reconstruction;
Preoperative;
Percutaneous oxygen saturation
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2019;35(5):290-293
- CountryChina
- Language:Chinese
-
Abstract:
Objective The study was designed to analyze the risk factors for perioperative adverse events in Ebstein's a-nomaly(EA) after cone construction.Methods A retrospective analysis was performed on EA cases undergoing cone con-struction in pediatric heart center of Beijing Anzhen Hospita from January 2010 to January 2017.Patients were divided into group A( no adverse events occurred) and group B( adverse events occurred) according to the presence or not of perioperative adverse events.Univariate and multivariate logistic regression analysis was performed with 9 preoperative and intraoperative var-iables as the predicted risk factors.Results The incidence of adverse events was 13.1％.Univariate logistic regression analy-sis showed that preoperative percutaneous oxygen saturation(SpO2)≤0.90(P=0.001, OR=10.578) and extracorporeal cir-culation time(P=0.034, OR=1.021) were risk factors for perioperative adverse events.Results of multivariate logistic re-gression analysis: preoperative SpO2≤0.90 was an independent risk factor for perioperative adverse events(P=0.002, OR=9.108).In 64 cases(64.6％) with atrial septum defect, there was no significant correlation between preoperative SpO2 and preoperative tricuspid regurgitation(P=0.838, r =0.026).Conclusion Preoperative SpO2≤0.90 is an independent risk factor for adverse events in the perioperative period of cone reconstruction .It is a simple and efficient method to evaluate the operation difficulty and determine the prognosis by SpO 2 .
