Modern treatment of patent ductus arteriosus – single center experience

Introduction: Transcatheter closure is a treatment choice for the most children with patent ductus arteriosus (PDA). The closure of the ductus is indicated in any child or adolescent with developed symptoms of significant L-R shunt. The aim of this article is to present our results in 5 years treatment of patients with PDA and their outcome. Methods: From 2009 to 2014, 30 patients underwent a transcatheter closure of PDA at Centre for Heart and Pediatric clinic of Clinical University Centre of Sarajevo. Aortic angiogram was performed to evaluate the size, position, and shape of the duct for selection of appropriate occluder device type and size. All procedures were performed by local team of cardiologists from the Department of Cardiology, Pediatric clinic, with invasive cardiologists team from Sweden and Austria. Echocardiography was repeated at intervals of 24 hours, then 1month, 3 months, and 1 year after the procedure to assess the outcome. Results: Thirty patients underwent transcatheter closure of PDA during the study period. PDA of ≤ 2.0 mm was present in 8 patients and they underwent PDA closure with coils, while 22 patients had PDA diameter ≥ 2 mm, and they were treated by Amplatzer duct occluder (ADO). Only in 2 (6.2%) patients complications have been observed. The length of hospital stay after the treatment was two to three days. Conclusion: Transcatheter closure of PDA is a modern, safe and efficient method that ensures a faster recovery of the patients, shortens the length of hospitalization.

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Transcatheter closure of patent ductus arteriosus, evaluating the outcome; single center experience in Mansoura, Egypt

Journal of the Saudi Heart Association ◽

10.1016/j.jsha.2018.05.017 ◽

2018 ◽

Vol 30 (4) ◽

pp. 362

Author(s):

Shaimaa Rakha ◽

Hala Elmarsafawy ◽

Mohamed Matter ◽

Hany Abo Abo-Haded ◽

Mona Hafez ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Single Center ◽

Single Center Experience ◽

Patent Ductus

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Successful Percutaneous Treatment of an Embolized Patent Ductus Arteriosus Occluder Device

Vascular and Endovascular Surgery ◽

10.1177/1538574418823384 ◽

2019 ◽

Vol 53 (3) ◽

pp. 264-266 ◽

Cited By ~ 1

Author(s):

Süleyman Barutçu ◽

Elnur Alizade ◽

Selcuk Pala

Keyword(s):

Pulmonary Artery ◽

Patent Ductus Arteriosus ◽

Endomyocardial Biopsy ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Biopsy Forceps ◽

Right Pulmonary Artery ◽

Occluder Device ◽

The Right ◽

Patent Ductus

Transcatheter closure has become the leading approach for closure of most instances of patent ductus arteriosus. However, there are some complications associated with this procedure. We report a case involving the embolization of a device in the right pulmonary artery during placement. A 20-year-old woman was referred to our hospital for percutaneous transcatheter closure of patent ductus arteriosus. During the deployment of an Amplatzer duct occluder device, it was disconnected from the connector and became embolized in the lower branch of the right pulmonary artery. We could not grasp the device with a gooseneck snare. After various attempts, the device was captured and removed by a BiPal bioptome endomyocardial biopsy forceps. Based on our findings, we recommend that endomyocardial biopsy forceps should be considered as an alternative when such complications occur.

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Transcatheter closure of patent ductus arteriosus using ADO and ADO II devices in children: A single center experience

Journal of Dr Behcet Uz Children s Hospital ◽

10.5222/buchd.2015.177 ◽

2015 ◽

Author(s):

Murat Muhtar Yılmazer ◽

Rahmi Özdemir ◽

Timur Meşe ◽

Savaş Demirpençe ◽

Barış Güven ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Single Center ◽

Single Center Experience ◽

Patent Ductus

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Transcatheter closure of patent ductus arteriosus, evaluating the outcome: Single center experience in Mansoura, Egypt

Progress in Pediatric Cardiology ◽

10.1016/j.ppedcard.2018.11.002 ◽

2019 ◽

Vol 52 ◽

pp. 33-38

Author(s):

Hala Elmarsafawy ◽

Mohamed Matter ◽

Hany M. Abo-Haded ◽

Shaimaa Rakha ◽

Mona M. Hafez ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Single Center ◽

Single Center Experience ◽

Patent Ductus

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Transcatheter Closure of Patent Ductus Arteriosus via Different Approaches

Frontiers in Cardiovascular Medicine ◽

10.3389/fcvm.2021.797905 ◽

2022 ◽

Vol 8 ◽

Author(s):

Zeming Zhou ◽

Yuanrui Gu ◽

Hong Zheng ◽

Shiguo Li ◽

Liang Xu ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Length Of Hospital Stay ◽

Average Weight ◽

Average Height ◽

Clinical Strategies ◽

Adults And Children ◽

Operation Duration ◽

Patent Ductus

Background: There have been marked advances in devices such as Amplatzer Duct Occluder II (ADO-II) or vascular plug through 5Fr delivery sheath for closure of patent ductus arteriosus (PDA) in the past five decades, making it possible for cardiologists to deliver occluders via different approaches. However, comparisons of these different approaches have not been reported. Therefore, the aim of this study was to summarize and compare the advantages of different approaches for PDA closure, and to guide clinical strategies.Methods: This retrospective study included all patients undergoing transcatheter closure of PDA from 2019 to 2020. Patients were matched by 1:1 propensity score matching (PSM). The retrograde femoral artery approach (FAA) and simple vein approach (SVA) groups were compared with the conventional arteriovenous approach (CAA).Results: The average age of the 476 patients was 21.05 ± 21.15 years. Their average weight was 38.23 ± 24.1 kg and average height was 130.14 ± 34.45 cm. The mean diameter of the PDA was 4.29 ± 2.25 mm. There were 127 men and 349 women, comprising 205 adults and 271 children. Among them, 197 patients underwent CAA, 223 underwent SVA, and 56 underwent retrograde FAA. The diameter in the FAA group was smaller than that in the other two groups, but was similar in adults and children. In the PSM comparison of CAA and SVA, 136 patients with CAA and 136 patients with SVA were recruited. Simple vein approach was associated with markedly reduced length of hospital stay, length of operation, and contrast medium usage as compared with CAA (all P < 0.05). In the PSM comparison of FAA and CAA, 30 patients with CAA and 30 patients with FAA were recruited. The operation duration was longer in the CAA than in the FAA group. There were no significant differences in postoperative complications among groups.Conclusion: Patent ductus arteriosus closure by using the SVA and FAA is safe and effective, and has certain advantages in some respects as compared with CAA.

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Is Two Dimensional Echocardiography sufficient for selection of device for successful transcatheter closure of Patent Ductus Arteriosus in Children?

Nepalese Heart Journal ◽

10.3126/njh.v18i2.40404 ◽

2021 ◽

Vol 18 (2) ◽

pp. 45-48

Author(s):

Manish Shrestha ◽

Urmila Shakya ◽

Poonam Sharma ◽

Subhash Shah ◽

Shilpa Aryal ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Transthoracic Echocardiography ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Type A ◽

Two Dimensional ◽

Cross Sectional ◽

Total Study Population ◽

Selection Of ◽

Patent Ductus

Background and Aims: Two dimensional transthoracic echocardiography (2DE) is widely used for detecting congenital heart disease and is possible to obtain precise measurement of Patent ductus arteriosus (PDA) for device selection required for transcatheter closure. Primary aim of the study is to determine whether echocardiographic assessment alone can be used for selection of device for transcatheter closure of PDA. Methods: Children with PDA and planned for transcatheter intervention were included in this cross-sectional study of one year. PDA was assessed with 2DE and prediction of device size was made. Results: The results were obtained from 107 children. The median age and weight at intervention were 3.8 years (ranging from 6 months to14 years) and 12 kg (ranging from 3.5 to 60 kg). Type A (Conical) PDA was the commonest PDA morphology accounting for 87.8% and 85% in 2DE and angiography respectively. There was no difference (p < 0.05) in the narrowest diameter at pulmonary end measured by 2DE and angiography, however ampulla diameter and ductal length were statistically different (p = 0.95). The predicted size of device by 2DE was discordant (p < 0.05) to the actual device used in a total study population, however when patients with severe pulmonary hypertension, non-type A and larger PDA (narrowest diameter > 6mm) were excluded, the predicted size of device by 2DE was statistically concordant (p = 0.1) to the actual device used in 89 (83%) patients. Conclusion: Two dimensional Transthoracic echocardiography alone may be helpful in choosing the device during transcatheter closure of PDA in selective group of patients.

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Chasing the umbrella: delayed migration of ductal occluder device into the aorta

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492318799932 ◽

2018 ◽

Vol 27 (3) ◽

pp. 217-220

Author(s):

Vijayakumar Raju ◽

Aayush Poddar ◽

Sai Gopalakrishnan ◽

Kalyanasundaram Muthuswamy

Keyword(s):

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Uneventful Recovery ◽

Surgical Removal ◽

Descending Aorta ◽

Left Thoracotomy ◽

Occluder Device ◽

Patent Ductus

Delayed migration of a ductal occluder device into the aorta after transcatheter closure of a patent ductus arteriosus is extremely rare. We present a case of delayed migration of a ductal occluder into the descending aorta 4 months after its deployment in an 11-year-old girl. Successful surgical removal of the device from the descending aorta and triple-ligation of the ductus arteriosus was performed via a left thoracotomy. The patient made an uneventful recovery.

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