Table 1 Studies describing the use of NIRS in neonates with CHD.

From: Neuromonitoring practices for neonates with congenital heart disease: a scoping review

Scope of study

Number of neonates Mean [range]

Type of congenital heart disease (n)

Type of study (n)

Findings Summary

Citations

SVP

TGA

Heterogeneous CHDa

Case series

Cohort study

Case-control

Cross-sectional Study

Validation and characterization of NIRS in CHD (n = 21)

56 [3–73]

5

2

14

1

14

6

0

-Measures of rcSO2 correlated with low ScvO2 but correlation was inconsistent at higher thresholds.

-Neonates with CHD had lower rcSO2 than healthy neonates.

RcSO2 did not identify hemodynamically unstable neonates with CHD.

-SVP had lower rcSO2 than TGA.

-Values of rcSO2 possibly reflected cerebral autoregulation.

-Multiple factors affected rcSO2.

15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35

NIRS as a predictor of short-term outcomes and adverse events in ICU (n = 6)

109 [10–194]

3

0

3

0

5

0

1

-Values of rcSO2 below a threshold of 50–56% were associated with worse short-term ICU outcomes.

39,40,41,42,43,44

NIRS as predictor of neurodevelopmental outcome (n = 6)

45 [28–75]

2

0

4

1

3

1

1

-Postoperative rcSO2 below 45–56% were correlated with adverse neurodevelopmental outcomes at different time-points.

45,46,47,48,49,50

NIRS in correlation with neuroimaging (n = 4)

44 [32–68]

1

0

3

0

4

0

0

-Measurements of rcSO2 did not correlate with new neuroimaging findings after CHD surgery.

-NIRS may correlate with ASL.

51,52,53,54

  1. NIRS Near-infrared spectroscopy, CHD Congenital Heart Disease, ASL arterial spin labeling on MRI, rcSO2 regional cerebral tissue oxygenation, SVP Single ventricle physiology, TGA Transposition of the great arteries, ScvO2 cerebral venous oxyhemoglobin saturation, ICU Intensive Care Unit.
  2. aHeterogeneous CHD (refers to the inclusion of different phenotypes of CHD in the same study including SVP, TGA, truncus arteriosus, coarctation of the aorta, left ventricular outflow obstruction).