The arterial duct… the natural substitute for a surgical shunt?

2011 ◽  
Vol 78 (5) ◽  
pp. 686-686
Author(s):  
Victor Lucas
Keyword(s):  
Arterial Duct ◽  
Surgical Shunt

Arterial duct stenting: do we still need surgical shunt in congenital heart malformations with duct-dependent pulmonary circulation?

2010 ◽  
Vol 11 (11) ◽  
pp. 852-857 ◽  
Author(s):  
Giuseppe Santoro ◽  
Gianpiero Gaio ◽  
Maria Teresa Palladino ◽  
Biagio Castaldi ◽  
Carola Iacono ◽  
...  
Keyword(s):  
Pulmonary Circulation ◽  
Congenital Heart ◽  
Arterial Duct ◽  
Congenital Heart Malformations ◽  
Surgical Shunt ◽  
Heart Malformations

scholarly journals Arterial duct stent versus surgical shunt for patients with duct-dependent pulmonary circulation: a meta-analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Dongxu Li ◽  
Xu Zhou ◽  
Mengsi Li
Keyword(s):  
Pulmonary Artery ◽  
Hospital Stay ◽  
Pulmonary Circulation ◽  
Fixed Effects ◽  
Total Mortality ◽  
Cochrane Library ◽  
Icu Stay ◽  
Arterial Duct ◽  
Procedural Complications ◽  
Surgical Shunt

Abstract Background Both systemic-pulmonary shunt and arterial duct stent could be the palliation of duct-dependent pulmonary circulation. We aimed to compare the safety and efficacy of the two approaches. Methods The PubMed, EMBASE, and Cochrane Library databases were searched through December 2019 for studies comparing stent implantation and surgical shunt in duct-dependent pulmonary circulation. The baseline characteristics included ventricle physiology and cardiac anomaly. The main outcomes were hospital stay and total mortality. Additional outcomes included procedural complications, intensive care unit (ICU) stay, pulmonary artery growth at follow-up, and other indexes. A random- or fixed-effects model was used to summarize the estimates of the mean difference (MD)/risk ratio (RR) with 95% confidence intervals (CIs). Results In total, 757 patients with duct-dependent pulmonary circulation from six studies were included. Pooled estimates of hospital stay (MD, − 4.83; 95% CI − 7.92 to − 1.74; p < 0.05), total mortality (RR 0.44; 95% CI 0.28–0.70; p < 0.05), complications (RR 0.49; 95% CI 0.30–0.81; p < 0.05) and ICU stay (MD, − 4.00; 95% CI − 5.96 to − 2.04; p < 0.05) favored the stent group. Significant differences were found in the proportions of patients with a single ventricle (RR 0.82; 95% CI 0.68–0.98; p < 0.05) or a double ventricle (RR 1.23; 95% CI 1.07–1.41; p < 0.05) between the stent and shunt groups. Additionally, pulmonary artery growth showed no significant differences between the two groups. Conclusion Arterial duct stent appears to have not inferior outcomes of procedural complications, mortality, hospital and ICU stay, and pulmonary artery growth in selected patients compared with a surgical shunt. Trial registration CRD42019147672.

To the issue of corrosion of occluders from beta-zirconium alloy in experimental study of endovascular devices for the closure of arterial duct

2018 ◽  
Vol 0 (2) ◽  
pp. 38-45
Author(s):  
Yu. V. Panichkin ◽  
V. P. Zakharova ◽  
Yu. L. Konopliova ◽  
A. Yu. Gavrilishin ◽  
E. V. Beshlyaga ◽  
...  
Keyword(s):  
Experimental Study ◽  
Zirconium Alloy ◽  
Arterial Duct ◽  
Endovascular Devices

Arterial Duct Stenting in Congenital Heart Disease with Duct-Dependent Pulmonary Circulation

2010 ◽  
Vol 6 (3) ◽  
pp. 183-191
Author(s):  
Giuseppe Santoro ◽  
Biagio Castaldi ◽  
Gianpiero Gaio ◽  
Maria Teresa Palladino ◽  
Carola Iacono ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulmonary Circulation ◽  
Congenital Heart ◽  
Arterial Duct

Early clinical experience with a modified amplatzer ductal occluder for transcatheter arterial duct occlusion in infants and small children

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Damien Kenny ◽  
Gareth J. Morgan ◽  
James R. Bentham ◽  
Neil Wilson ◽  
Robin Martin ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Small Children ◽  
Early Clinical Experience ◽  
Arterial Duct ◽  
Duct Occlusion

Portal Steal Syndrome From a Large Linton’s Splenorenal Shunt after Liver Transplantation: Successful Endovascular Management Through Off-Label Application of a 30 mm Amplatzer Cardiac Plug

2022 ◽  
pp. 153857442110686
Author(s):  
Leonardo Centonze ◽  
Ivan Vella ◽  
Francesco Morelli ◽  
Giuliana Checchini ◽  
Riccardo De Carlis ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Splenic Vein ◽  
Past Medical History ◽  
Endovascular Management ◽  
Portal Flow ◽  
Off Label ◽  
Steal Syndrome ◽  
Early Allograft Dysfunction ◽  
Surgical Shunt ◽  
Radiologic Evidence

A 34-year-old patient underwent liver transplantation for progressive hepatic failure in the setting of congenital hepatic fibrosis. In past medical history, the patient had undergone splenectomy with proximal Linton’s splenorenal surgical shunt creation for symptomatic portal hypertension with hypersplenism. The patient developed an early allograft dysfunction, with radiologic evidence of a reduced portal flow associated to portal steal from the patent surgical shunt. The patient was successfully treated through endovascular placement of a 30 mm Amplatzer cardiac plug at the origin of the splenic vein.

Hybrid stenting of the arterial duct with carotid cutdown and flip technique: immediate and early results

2021 ◽  
pp. 1-7
Author(s):  
Supratim Sen ◽  
Priya Pradhan ◽  
Sneha Jain ◽  
Dipesh Trivedi ◽  
Pradeep Kaushik
Keyword(s):  
Interquartile Range ◽  
Attractive Alternative ◽  
Single Centre ◽  
Arterial Access ◽  
Post Procedure ◽  
Arterial Duct ◽  
Early Results ◽  
Carotid Arterial ◽  
Mean Time

Abstract Stenting of the arterial duct (PDA) has become a standard palliation for ductal-dependent pulmonary circulation. Carotid arterial access provides a direct route for stenting vertical ducts. We evaluated our early results of hybrid ductal stenting via surgical carotid cutdown. Methods and results: In this retrospective single centre cohort study, hybrid PDA stenting was attempted in 11 patients with “flip technique”, between January 2020 and February 2021, and was successful in 10. Median age was 29 days (interquartile range 17.5–87) and mean weight 3.37 ± 1.23 kg. Mean fluoroscopy time was 13.58 ± 5.35 minutes, mean procedure time was 48.50 ± 22.5 minutes, and mean radiation dose was 1719.5 ± 1217.6 mGycm2. Mean time for cutdown was 9.9 ± 2.4 minutes and for haemostasis and suturing was 25.3 ± 11.0 minutes. Median duration of ventilation post-stenting was 26 hours (interquartile range 21–43.75). The median ICU stay post-procedure was 5 days (interquartile range 4–7.25) and mean hospital stay was 12 ± 6.3 days. On early follow-up, carotid patency was confirmed in all patients with colour Doppler, with no intravascular thrombi, narrowing, haematomas, or aneurysms noted. There were no complications secondary to vascular access. There was one early mortality, 27 days post-stenting, which was unrelated to the procedure. Conclusion: This study adds to the limited literature on ductal stenting with carotid access and the flip technique. In our early experience, the hybrid carotid approach is an attractive alternative to percutaneous carotid puncture and has simplified a complex and challenging intervention, with good outcomes.

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