Can transcatheter PDA closure be performed in neonates ≤1000 grams? The Memphis experience

Congenital Heart Disease
Shyam SathanandamRanjit Philip

Abstract

Advancements in transcatheter technology have now made it possible to safely close patent ductus arteriosus (PDA) in extremely low birth weight (ELBW) infants. The objective of this article is to describe our technique for transcatheter PDA closure (TCPC) in ELBW infants. The techniques employed are very specific to this population and are drastically different when compared to the procedure performed in patients weighing >5 kg. A multidisciplinary team approach should be taken to evaluate and manage ELBW infants in order to achieve success. It is important that specific techniques with venous-only approach outlined in this article be followed to achieve optimal results with low risk of complications. To date, in Memphis, 55 ELBW infants have had successful TCPC at a weight of ≤1000 g with minimal procedure-related complications. It is important that specific techniques with venous-only approach outlined in this article be followed to achieve optimal results with low risk of complications. This procedure entails a steep learning curve and should be limited to specialized centers with expertise in these thanscatheter procedures. There has been 100% procedural success of performing TCPC in children ≤1000 g. There have been only t...Continue Reading

References

Nov 1, 1983·The Annals of Thoracic Surgery·C MavroudisL A Gray
Mar 1, 1996·The Annals of Thoracic Surgery·R I ZbarR J Smith
Feb 24, 2007·Pediatric Cardiology·Abdul WongW Ibrahim
Nov 4, 2015·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ranjit PhilipShyam Sathanandam
Aug 19, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·John AlexanderShyam Sathanandam
Nov 27, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shyam SathanandamAthar M Qureshi

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Citations

May 21, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shyam K SathanandamEvan M Zahn
May 23, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·J M DavidsonA J Talati
Aug 15, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Ranjit PhilipShyam Sathanandam
Oct 20, 2020·Frontiers in Pediatrics·Alain FraisseYogen Singh
Oct 26, 2020·The Journal of Pediatrics·Adrianne Rahde BischoffPatrick J McNamara
Mar 2, 2021·Frontiers in Pediatrics·Sarah ParkersonShyam Sathanandam
Jun 18, 2021·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Govinda PaudelShyam Sathanandam

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