Cardiac catheterization in small infants: the percutaneous approach

  • John H Gay
    Address for reprints: John H. Gay, MD, 943 19th St., Des Moines, Iowa 50314.
    Institute for Cardiovascular Diseases, Department of Pediatric Cardiology, Good Samaritan Hospital, 1033 East McDowell Rd., Phoenix, Arizona 85006 USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.


      Cardiac catheterization of small infants can be performed by the percutaneous technique using materials readily available from commercial sources. Twenty infants averaging 3.0 kg (range 1.3 to 4.1 kg) underwent percutaneous sheath cardiac catheterization in a 12 month period. After refinement of the technique, cardiac catheterization in all small infants was attempted percutaneously with a 90 percent rate of success. This percutaneous approach has distinct advantages for the small infant because it is performed rapidly, preserves venous integrity and has a low rate of morbidity.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to American Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Neches WH
        • Mullins CE
        • Williams RL
        • et al.
        Percutaneous sheath cardiac catheterization.
        Am J Cardiol. 1972; 30: 378-384
        • Desilets DT
        • Hoffman R
        A new method of percutaneous catheterization.
        Radiology. 1965; 85: 147-148
        • Lurie PR
        • Armer RM
        • Klatte EC
        Percutaneous guide wire catheterization: diagnosis and therapy.
        Am J Dis Child. 1963; 106: 189-196
        • Hurwitz RA
        • Girod DA
        Percutaneous balloon atrial septostomy in infancy (abstr).
        in: Proc 42nd Annual Meeting, American Academy of Pediatrics. October, 1973