In an era when less invasive techniques are favored, therapeutic cardiac
catheterization constantly evolves and widens its spectrum of usage in the pediatric
population. The advent of sophisticated devices and well-designed equipment
has made the management of many congenital cardiac lesions more efficient and
safer, while providing more comfort to the patient. Nowadays, a large variety of
heart diseases are managed with transcatheter techniques, such as patent foramen
ovale, atrial and ventricular septal defects, valve stenosis, patent ductus arteriosus,
aortic coarctation, pulmonary artery and vein stenosis and arteriovenous malformations.
Moreover, hybrid procedures and catheter ablation have opened new
paths in the treatment of complex cardiac lesions and arrhythmias, respectively. In
this article, the main therapeutic utilities of cardiac catheterization in children are discussed.