Transcatheter Closure of Patent Ductus Arteriosus via Different Approaches

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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Modern treatment of patent ductus arteriosus – single center experience

Journal of Health Sciences ◽

10.17532/jhsci.2014.212 ◽

2014 ◽

Vol 4 (3) ◽

pp. 181-185

Author(s):

Senka Mesihović Dinarević ◽

Almira Kadic ◽

Zijo Begić ◽

Mirza Halimić ◽

Emina Vukas

Keyword(s):

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Length Of Hospital Stay ◽

Single Center Experience ◽

Pediatric Clinic ◽

Occluder Device ◽

Length Of Hospitalization ◽

Selection Of ◽

Patent Ductus

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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Anterior mini-thoracotomy versus transcatheter closure of the patent ductus arteriosus in the extremely low birth weight preterm infant: A comparative bi-centric study

Archives of Cardiovascular Diseases Supplements ◽

10.1016/j.acvdsp.2020.10.295 ◽

2021 ◽

Vol 13 (1) ◽

pp. 139

Author(s):

C. Wanert ◽

M. Lenoir ◽

D. Bonnet ◽

V. Fouilloux ◽

C. Gran ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Patent Ductus Arteriosus ◽

Preterm Infant ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Extremely Low Birth Weight ◽

Mini Thoracotomy ◽

Patent Ductus

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Transcatheter closure of Patent ductus arteriosus in a child with IVC interruption through standard femoral access: a case report

The Egyptian Heart Journal ◽

10.1186/s43044-020-00060-6 ◽

2020 ◽

Vol 72 (1) ◽

Author(s):

Sanjeev H. Naganur ◽

C. R. Pruthvi ◽

Dinakar Bootla ◽

Krishna Prasad ◽

V. Krishna Santosh ◽

...

Keyword(s):

Case Report ◽

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Femoral Access ◽

Patent Ductus

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Intravascular ultrasonography-guided measurement and transcatheter closure of highly calcified patent ductus arteriosus in an older adult

Cardiology in the Young ◽

10.1017/s1047951121002250 ◽

2021 ◽

pp. 1-3

Author(s):

Yoko Kawai ◽

Takeshi Nakamura ◽

Satoaki Matoba

Keyword(s):

Older Adults ◽

Patent Ductus Arteriosus ◽

Older Adult ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Ct Images ◽

Device Closure ◽

Intravascular Ultrasonography ◽

Patent Ductus

Abstract In older adults with patent ductus arteriosus, CT is widely used for duct visualisation because angiography images can be inadequate for evaluation. We report the case of a 73-year-old woman with a highly calcified patent ductus arteriosus whose CT images were insufficient for accurate measurement. Intravascular ultrasonography is useful for sizing of and guiding device closure of the duct.

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