Percutaneous Closure of Patent Ductus Arteriosus in Adults Using Different Devices

Gamboa, Ricardo; Ríos-Méndez, Raúl E.; Mollón, Francisco P.; Arroyo, Graciela M.; Gutiérrez, Diego

doi:10.1016/s1885-5857(10)70147-x

Cited by 7 publications

(4 citation statements)

References 16 publications

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“…Study population in our study is small as in other studies with adults. 13,14,15 It may be due to early diagnosis and treatment in the childhood. Though Surgical repair has been an established method, 16 there are many advantages of PDA device closure when compared to surgical ligation; less invasive procedure, shorter hospital stay, avoidance of a scar and low morbidity are the advantages.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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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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Section: Discussionmentioning

confidence: 99%

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

et al. 2020

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“…Transcatheter PDA closure is currently the preferred method for closure in adults as it is associated with excellent procedural outcomes with low complication rates with durable results compared to surgical closure [2][3][4]. The method for PDA sizing during transcatheter closure is primarily based on the pediatric experience with calibrated…”

Section: Discussionmentioning

confidence: 99%

“…This may lead to the development of left ventricular dysfunction or pulmonary hypertension. Current Class 1 ACC/AHA recommendations for adult PDA closure include: (1) left atrial and/or left ventricular enlargement; (2) Reversible pulmonary hypertension; (3) left-to-right shunting or (4) prior episode of endarteritis [1].Transcatheter PDA closure is currently the preferred method for closure in adults as it is associated with excellent procedural outcomes with low complication rates with durable results compared to surgical closure [2][3][4]. The method for PDA sizing during transcatheter closure is primarily based on the pediatric experience with calibrated…”

mentioning

confidence: 99%

Sizing of patent ductus arteriosus in adults for transcatheter closure using the balloon pull‐through technique

Shafi

Singh

Smith

et al. 2017

Cathet Cardio Intervent

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“…Первичные и sinus venosus дефекты должны закрываться исключительно хирургически [2,19,190,191]. Эндоваскулярно могут быть закрыты мышечные, некоторые перимембранозные ДМЖП и ОАП [192][193][194][195][196][197].…”

Section: эндоваскулярное лечениеunclassified

Eurasian guidelines for the diagnosis and treatment of pulmonary hypertension associated with congenital heart defects in adults (2021)

Чазова

Горбачевский

Martynyuk

et al. 2022

Evrazijskij kardiologičeskij žurnal

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Percutaneous Closure of Patent Ductus Arteriosus in Adults Using Different Devices

Cited by 7 publications

References 16 publications

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

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

Sizing of patent ductus arteriosus in adults for transcatheter closure using the balloon pull‐through technique

Eurasian guidelines for the diagnosis and treatment of pulmonary hypertension associated with congenital heart defects in adults (2021)

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