Role of Radionuclide Shunt Studies in Management of Infants and Children

The utility of radionuclide-shunt quantitation in children was assessed by examination of the outcome of 128 patients who underwent shunt study over a two-year period. The possibility of cardiac catheterization was eliminated in 87. Fifty of these had undergone previous cardiac catheterizations, whi...

Full description

Saved in:
Bibliographic Details
Published in:Clinical nuclear medicine 1986-11, Vol.11 (11), p.781-785
Main Authors: HURWITZ, ROGER A, CALDWELL, RANDALL L, MAHONY, LYNN, DIROD, DONALD A, WELLMAN, HENRY
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Cardiac Catheterization
Cardiology. Vascular system
Child
Child, Preschool
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Heart
Heart Septal Defects - diagnostic imaging
Heart Septal Defects - physiopathology
Heart Septal Defects - surgery
Heart Septal Defects, Atrial - diagnostic imaging
Heart Septal Defects, Ventricular - diagnostic imaging
Hemodynamics
Humans
Infant
Medical sciences
Radionuclide Imaging
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The utility of radionuclide-shunt quantitation in children was assessed by examination of the outcome of 128 patients who underwent shunt study over a two-year period. The possibility of cardiac catheterization was eliminated in 87. Fifty of these had undergone previous cardiac catheterizations, which suggested the necessity for further invasive study or surgery; after radionuclide evaluation, 28 were shown to have had enough spontaneous closure of the defect to cancel planned surgery, 12 were scheduled for surgery without repeat catheterization, and ten had nuclear rather than catheterization estimates of residual shunting following surgical repair of septal defects. Thus, radionuclide shunt study provides a relatively noninvasive technique to quantitate left-to-right shunts, supplementing or supplanting cardiac catheterization in the management of infants and children with such lesions.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-198611000-00013