To determine the incidence of intraoperative cardiac events in children undergoing cardiac MRI with anesthesia and identify factors independently associated with these events.
Approach:
Study Design: Retrospective evaluation of patients ≤ 18 years who underwent cardiac MRI with anesthesia at Ronald Reagan UCLA Medical Center from 2013 to 2025.
Inclusion Criteria: Patients undergoing cardiac MRI with anesthesia; cases without anesthesia and combined procedures were excluded.
Outcome Definition: Intraoperative cardiac events defined as a composite of hemodynamic instability and severe adverse cardiac events.
Key Findings:
The incidence of intraoperative cardiac events during cardiac MRI with anesthesia is poorly described.
Children with congenital heart disease (CHD) undergoing noncardiac surgery have higher rates of perioperative complications.
Interpretation:
Limitations:
The study is retrospective and may have inherent biases.
Data completeness may be affected by missing preinduction blood pressure measurements.
Conclusion:
The study aims to provide insights into intraoperative cardiac events in pediatric patients undergoing cardiac MRI with anesthesia.
by Theodora Wingert, Justine Liang, Kelly Feldman, Amelie Delaporte, Christine Nguyen-Buckley, Tristan Grogan, Alexandre Joosten, John Paul Finn, Ihab Ayad
In a multicenter registry study, genetic diagnoses were associated with substantially lower cognitive, language, and motor scores; while birth weight, surgical timing, hospitalization burden, and caregiver education were also associated with outcomes.
