Percutaneous device closure of patent ductus arteriosus in adult patients with 10-year follow-up

AbstractDuctal arterial spasm is a very potentially dangerous incidence during percutaneous device closure of patent ductus arteriosus (PDA), which, otherwise, is a very safe catheter intervention. It is essential to notice its occurrence before device sizing and deploying. Without awareness, it can mislead device selection and can result in serious complication. In this report, we shared our nightmare of ductal spasm during transcatheter closure of PDA in two children which had led to death in one patient.

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Percutaneous device closure of pediatirc patent ductus arteriosus through femoral artery guidance by transthoracic echocardiography without radiation and contrast agents

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-020-01119-w ◽

2020 ◽

Vol 15 (1) ◽

Cited By ~ 1

Author(s):

Zankai Ye ◽

Zhiqiang Li ◽

Hanlu Yi ◽

Yaobin Zhu ◽

Yan Sun ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Contrast Agents ◽

Femoral Artery ◽

Transthoracic Echocardiography ◽

Ductus Arteriosus ◽

Device Closure ◽

Percutaneous Device ◽

Percutaneous Device Closure ◽

Patent Ductus

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Safety and Procedural Success of Transcatheter Closure of Patent Ductus Arteriosus in Adults at Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Nepalese Heart Journal ◽

10.3126/njh.v17i2.32679 ◽

2020 ◽

Vol 17 (2) ◽

pp. 43-46

Author(s):

Chandra Mani Adhikari ◽

Amrit Bogati ◽

Kiran Prasad Acharya ◽

Manish Shrestha ◽

Urmila Shakya ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Adult Patients ◽

Device Closure ◽

Cardiac Catheterization Laboratory ◽

National Heart ◽

Procedural Success ◽

Device Size ◽

Patent Ductus

Background and Aims: Transcatheter closure of patent ductus arteriosus (PDA) using either coils or device is a well-established procedure. PDA is one of the common congenital heart diseases and it is not uncommon for it to be diagnosed in adulthood. However, only few studies are conducted in our part of the world regarding the safety and procedural success of device closure of PDA in adults. We aim to assess safety and procedural success of transcatheter closure of PDA in adults at Shahid Gangalal National Heart Centre, Kathmandu, Nepal. Methods: It was a single center, retrospective study. Cardiac catheterization laboratory records of all consecutive adult patients (age ≥ 18 years) who underwent PDA device closure between March 2007 to March 2020 were reviewed. Patients age, gender, device size and device type along with procedural success of the procedure were reviewed. Any complication recorded was reviewed. Results: During the study period 118 adult patients were attempted for transcatheter closure of PDA. In three cases transcatheter closure was not attempted. In one patients attempt was made to close the duct with cook coil which embolized to pulmonary artery. PDA was successfully closed in 114 patients. Among the 114 patients, 87 were females and 27 were male. Age ranged from 18 to 69 years with mean age was 29.5 years. PDA size ranged from 3mm to 18mm with the mean of 6.9mm. In two patients, residual PDA after surgical closure were closed. Amplatzer duct occluder was the most commonly used device used in 89 (78%) patients followed by Memopart PDA device in 11 (9.6%) patients, Amplatzer Muscular VSD occluder in four patients. Device size of “8x10” in 32 patients and “10x12” device in 29 patients, were the most commonly used device size. Conclusion: Transcatheter closure of PDA in adults can safely be done with high success rate.

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Transcatheter closure of calcified patent ductus arteriosus in older adult patients: Immediate and 12-month follow-up results

Congenital Heart Disease ◽

10.1111/chd.12437 ◽

2016 ◽

Vol 12 (3) ◽

pp. 289-293 ◽

Cited By ~ 5

Author(s):

Xinghua Gu ◽

Qiuwang Zhang ◽

Hourong Sun ◽

Jianchun Fei ◽

Xiquan Zhang ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Older Adult ◽

Transcatheter Closure ◽

Ductus Arteriosus ◽

Adult Patients ◽

Patent Ductus

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Late manifestation coarctation of the aorta in a premature infant 4-month post-percutaneous device closure of a patent ductus arteriosus

Cardiology in the Young ◽

10.1017/s1047951119002555 ◽

2019 ◽

Vol 29 (12) ◽

pp. 1556-1558

Author(s):

Ryan M. Serrano ◽

Mark D. Rodefeld ◽

Ryan Alexy

Keyword(s):

Patent Ductus Arteriosus ◽

Premature Infants ◽

Ductus Arteriosus ◽

Coarctation Of The Aorta ◽

Percutaneous Closure ◽

Device Closure ◽

Percutaneous Device ◽

Favourable Safety ◽

Patent Ductus

AbstractPatent ductus arteriosus is the most common cardiovascular abnormality in premature infants. With newly available percutaneous devices, centres are reporting high rates of success and favourable safety profiles with percutaneous closure of haemodynamically significant ductus arteriosi in infants under 1000 g. We report the case of a 5-week-old, previous 25-week gestation, 1200-g infant who underwent successful percutaneous closure of a ductus arteriosus with a Medtronic Microvascular Plug but who developed late-term coarctation from the device. This case should prompt practitioners to consider the need and timing of follow-up echocardiograms in this population and sheds light on a newly reported long-term complication of device closure in premature infants.

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Trans-catheter closure of large PDA in adult patients with Amplatzer device: case series

Cardiology in the Young ◽

10.1017/s1047951121002602 ◽

2021 ◽

pp. 1-4

Author(s):

Zahra Khajali ◽

Ata Firouzi ◽

Homa Ghaderian ◽

Maryam Aliramezany

Keyword(s):

Ventricular Septal Defect ◽

Patent Ductus Arteriosus ◽

Septal Defect ◽

Ductus Arteriosus ◽

Diagnostic Methods ◽

Adult Patients ◽

Amplatzer Device ◽

Occluder Device ◽

Catheter Closure ◽

Patent Ductus

Abstract Ductus arteriosus is a physiological structure if not closed after birth, may lead to many complications. Today, trans-catheter closure of patent ductus arteriosus with Occluder devices is the preferred method. Surgical ligation is used only in certain cases such as large symptomatic patent ductus arteriosus in very small infants and premature babies; unfavourable structure of the duct or economic considerations. In this article, we described haemodynamic and morphological characteristics of five patients with large patent ductus arteriosus which were occluded with Amplatzer device. From 23 January, 2010 to 31 July, 2018, five patients referred to our clinic with large patent ductus arteriosus and pulmonary arterial hypertension for further evaluation. After assessing them with various diagnostic methods, we decided to close defect with ventricular septal defect Occluder device. Patients aged 21–44 years and one of them was male. Ductus closure was successfully done with ventricular septal defect Occluder device. Closure was successful for all of them but in one case, whose device was embolized to pulmonary artery after 24 hr and he underwent surgery. Trans-catheter closure of large patent ductus arteriosus in adult patients with pulmonary hypertension is feasible. Despite the fact that complications may occur even with the most experienced hands, the ‘double disk’ Amplatzer ventricular septal defect muscular Occluder could be advantageous in this setting.

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Patent ductus arteriosus in preterm infants; experience of a tertiary referral neonatal intensive care unit: prevalence, complications, and management

Egyptian Pediatric Association Gazette ◽

10.1186/s43054-020-00046-8 ◽

2020 ◽

Vol 68 (1) ◽

Author(s):

Reem M. Soliman ◽

Fatma Alzahraah Mostafa ◽

Antoine Abdelmassih ◽

Elham Sultan ◽

Dalia Mosallam

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Side Effects ◽

Patent Ductus Arteriosus ◽

Neonatal Intensive Care Unit ◽

Preterm Infants ◽

Neonatal Intensive Care ◽

Ductus Arteriosus ◽

Patent Ductus

Abstract Background Patent ductus arteriosus poses diagnostic and therapeutic dilemma for clinicians, diagnosis of persistent PDA, and determination of its clinical and hemodynamic significance are challenging. The aim of this study is to determine the prevalence of PDA in preterm infants admitted to our NICU, to report cardiac and respiratory complications of PDA, and to study the management strategies and their subsequent outcomes. Result Echocardiography was done for 152 preterm babies admitted to neonatal intensive care unit (NICU) on day 3 of life. Eighty-seven (57.2%) preterms had PDA; 54 (62.1%) non-hemodynamically significant PDA (non-hsPDA), and 33 (37.9%) hemodynamically significant PDA. Hemodynamically significant PDA received medical treatment (paracetamol 15 mg/kg/6 h IV for 3 days). Follow-up echocadiography was done on day 7 of life. Four babies died before echo was done on day 7. Twenty babies (68.9%) achieved closure after 1st paracetamol course. Nine babies received 2nd course paracetamol. Follow-up echo done on day 11 of life showed 4 (13.7%) babies achieved successful medical closure after 2nd paracetamol course; 5 babies failed closure and were assigned for surgical ligation. The group of non-hsPDA showed spontaneous closure after conservative treatment. Pulmonary hemorrhage was significantly higher in hsPDA group. Mortality was higher in hsPDA group than non-hsPDA group. Conclusion Echocardiographic evaluation should be done for all preterms suspected clinically of having PDA. We should not expose vulnerable population of preterm infants to medication with known side effects unnecessarily; we should limit medical closure of PDA to hsPDA. Paracetamol offers several important therapeutic advantages options being well tolerated and having more favorable side effects profile.

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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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