Safety of transcatheter patent ductus arteriosus closure in small weight infants

Journal of Interventional Cardiology
Abdenasser DrighilFadel Al Fadley

Abstract

Patent ductus arteriosus (PDA) is a frequent congenital heart disease. Its transcatheter closure has become the treatment of choice in children and adults. However, the device closure of PDA in children with low weight is still challenging with high rate of complications. The aim of this study was to report further experience with trancatheter closure of PDA using the Amplatzer Duct Occluder(ADO) for children weighing less or equal to 8 kg. Twenty-two patients (5 male, 17 female) underwent transcatheter closure of a PDA using ADO at a median age of 10 months (range 4 to 26) and a median weight of 7 kg (range 4.3 to 8). Follow-up evaluations were performed with Doppler echocardiography at 24h, and at 6 and 12 months. The device was implanted successfully in all patients. The median fluoroscopy time was 17.25 min (range 10 to 29). Within 24h, color Doppler revealed complete closure in 15 patients (68%), the other patients had a small residual shunt. No deaths were associated with the procedure. Two patients had a slight aortic protrusion of the device without coarctation and in one patient the device encroached partially on the left pulmonary artery without significant acceleration on Doppler echocardiography. All patients were d...Continue Reading

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Citations

Feb 25, 2014·Annals of Vascular Surgery·Chuan-Ju HouYang Wang
Jun 26, 2013·The Canadian Journal of Cardiology·Adrian DanceaGiuseppe Martucci
Nov 12, 2019·British Journal of Pharmacology·Stephen P H AlexanderUNKNOWN CGTP Collaborators
Oct 26, 2020·The Journal of Pediatrics·Adrianne Rahde BischoffPatrick J McNamara

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