Closure of patent ductus arteriosus with duct occluder device in adult patients: evaluation of the approaches to facilitate the procedure

Paç, Feyza Ayşenur; Polat, Tuğçin Bora; Oflaz, Mehmet Burhan; Ballı, Şevket

doi:10.5152/akd.2011.001

Cited by 8 publications

(6 citation statements)

References 25 publications

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“…One the most significant complication of percutaneously closure of PDA is device embolisation 241314151617. The reported rate of the major complication with ADO was 2.3% in a multi-centre registry 18…”

Section: Discussionmentioning

confidence: 99%

Experience with percutaneous closure of ductus arteriosus using the Amplatzer duct occluder in 243 consecutive patients and long-term results-A single centre study

Behjati-Ardakani

Hadadzadeh

et al. 2014

Niger Med J

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Background:Percutaneous closure of patent ductus arteriosus (PDA) with Amplatzer duct occluder (ADO) has become increasingly popular in many cardiovascular centres. This study analysed the long-term results of percutaneous closure of PDA with ADO in a single centre.Materials and Methods:Between May 2004 and January 2013, 243 patients with median age of 2.5 years (range = 30 months to 38 years) and median weight of 10 Kg (range 4.5–80.5 Kg) underwent percutaneous closure of PDA using the ADO. The devices were implanted under fluoroscopic guidance. Patients were followed-up for any complications.Results:The mean diameter of narrow part of PDA was 6.4 ± 2.2 mm. The mean diameter of devices was 7.8 ± 2.3 mm. The devices were successfully implanted in 239 (98.3%) cases. At immediate, 1 day, 1, 6, 12 months and late follow-up, the complete occlusion rate was 33% (79 case), 97.1% (236 case), 97.5% (237 case), 98.3% (238 case), 98.3% (238 case) and 98.3% (238 case), respectively. Residual shunt remained in one case at late follow-up. The device embolisation occurred in five patients. The devices were successful retrieved in three patient and second larger devices were inserted. Two other devices were surgically retrieved and PDAs were ligated. Moderate left pulmonary artery stenosis (LPA) in one child and mild LPA stenosis in one infant were detected. Mild aortic obstruction occurred in one infant.Conclusions:Long-term follow-up of patients indicate that percutaneous closure of PDA using ADO is a safe and effective procedure. However, some complications, including device embolisation, left pulmonary stenosis and aortic obstruction may be observed in some cases.

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Section: Discussionmentioning

confidence: 99%

Experience with percutaneous closure of ductus arteriosus using the Amplatzer duct occluder in 243 consecutive patients and long-term results-A single centre study

Behjati-Ardakani

Hadadzadeh

et al. 2014

Niger Med J

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“…However, this device can only be used for the closure of PDAs less than 6 mm in diameter [9]. In previous studies, it was reported that using oversized devices would be safe and could reduce the residual leakage, especially among patients with severe pulmonary hypertension [10, 11]. Paç et al .…”

Section: Discussionmentioning

confidence: 99%

“…Paç et al . have also recommended the use of larger devices in adult patients to reduce the risk of embolization to the pulmonary artery [11]. Thanopoulos et al .…”

Section: Discussionmentioning

confidence: 99%

Closure of patent ductus arteriosus with oversized Amplatzer occluder in a patient with pulmonary hypertension

Karapınar¹,

Küçükdurmaz²,

Oflaz³

et al. 2013

pwki

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Diagnosis of patent ductus arteriosus is rare in adulthood. Closure of ductus is difficult when diagnosed at an adult age due to the development of pulmonary hypertension and pulmonary arterial disease that generally occurs. Closure of the ductus might be contraindicated, as it may lead to deterioration of the pulmonary arterial perfusion or to a pulmonary hypertensive crisis. In addition, another risk associated with percutaneous closure for these patients is the risk of embolism of the asymmetrically shaped device to the systemic circulation. We present in this manuscript a case with patent ductus arteriosus diagnosed at an adult age that underwent successful closure by the percutaneous method. During closure, an oversized Amplatzer duct occluder device was used to reduce the risk of device embolism.

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“…ADO ile yapılmış çok sayıda çalışma mevcuttur. Çocuk ve erişkinleri kapsayan 439 vakalık bir seride ADO I cihazı ile başarılı kapatma oranı bir yıl sonunda %99.7 olarak bildirilmiştir.10 Ülkemizde de bu gelişmelere paralel olarak birçok merkezde PDA'ların perkütan yolla kapatılması başarılı bir şekilde gerçekleştirilmektedir [16][17][18][19][20][21]. Kaya ve ark.…”

Section: Discussionunclassified

Percutaneous Closure of Patent Ductus Arteriosus: Experience of a Tertiary Referral Center

Kaya

Ertaş

Polat

et al. 2013

Journal of the American College of Cardiology

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Closure of patent ductus arteriosus with duct occluder device in adult patients: evaluation of the approaches to facilitate the procedure

Cited by 8 publications

References 25 publications

Experience with percutaneous closure of ductus arteriosus using the Amplatzer duct occluder in 243 consecutive patients and long-term results-A single centre study

Experience with percutaneous closure of ductus arteriosus using the Amplatzer duct occluder in 243 consecutive patients and long-term results-A single centre study

Closure of patent ductus arteriosus with oversized Amplatzer occluder in a patient with pulmonary hypertension

Percutaneous Closure of Patent Ductus Arteriosus: Experience of a Tertiary Referral Center

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