Percutaneous Occlusion of Patent Ductus Arteriosus with the Amplatzer® Vascular Plug II Device: Early Experience in Three Reference Centres

Sant’Anna, Luis Otávio Campanhã; Costa, Rodrigo Nieckel da; Ribeiro, Marcelo Silva; Nascimento, Wanda Teixeira do; Pereira, Fabrício Leite; Neves, Juliana; Arrieta, Santiago Raul; Fontes, Valmir F.; Pedra, Carlos Augusto Cardoso

doi:10.1016/s0104-1843(12)50033-0

Cited by 1 publication

(3 citation statements)

References 6 publications

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“…The successful use of Amplatzer vascular plug II in small and moderate sized tubular ducts in small children has been described earlier. 3,[12][13][14][15]17 Most of the failures in these reports were related to large Type C ducts 12,15,17 which form the basis of the present study. Our cohort comprises infants with large, long, and pulmonary hypertensive ducts which are technically most challenging to close with transcatheter techniques.…”

Section: Discussionmentioning

confidence: 72%

“…That is the reason why Amplatzer vascular plug II should be deployed in a way that does not elongate the central lobe and that the device length remains shorter than the ductal length. This point has been emphasised in the earlier studies 3,[12][13][14][15]17 as well.…”

Section: Why the Ductal Length Is Crucial For Using Amplatzer Vasculamentioning

confidence: 83%

“…Due to these inherent limitations of Amplatzer duct occluder and Amplatzer duct occlude II in small children with large tubular ducts, the Amplatzer vascular plug I and Amplatzer vascular plug II have been successfully used as alternatives. 3,[12][13][14][15] The purpose of this study is to share our experience with the use of Amplatzer vascular plug II in a selected group of infants with large and long ducts.…”

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confidence: 99%

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Transcatheter closure of elongated and pulmonary hypertensive patent arterial duct in infants using Amplatzer vascular plug II

et al. 2020

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AbstractObjective:To evaluate the feasibility, efficacy, and safety of Amplatzer vascular plug II in large and elongated ducts in infants.Introduction:Patent arterial duct device closure is technically challenging in infants with large and elongated ducts because Amplatzer duct occluder and Amplatzer duct occluder II have high chances of causing aortic coarctation and left pulmonary artery stenosis, respectively. The Amplatzer vascular plug II being soft with no retention discs on either sides helps in mitigating these problems.Method:This is a prospective, observational study involving infants with clinical, echocardiographic and angiographic evidence of large left to right shunt. All the children underwent duct closure using Amplatzer vascular plug II.Results:Eighteen infants qualified for the study. Mean age and weight were 8.63 ± 3.84 months and 6.3 ± 1.7 kg, respectively. The angiographic mean duct diameter at the pulmonary artery end was 4.66 ± 0.92 mm, and the mean duct length was 9.4 ± 2.48 mm. The size of Amplatzer vascular plug II used varied from 6 mm to 10 mm. Technical success was achieved in 16/18 cases. One patient had device embolisation, and in the other, the device was found to be unstable. The ratio of Amplatzer vascular plug II size to the duct diameter was 1.65 ± 0.27, while the ratio of ductal length to device length was 1.48 ± 0.46 in those with successful outcome.Conclusions:Amplatzer vascular plug II is a safe and effective option in appropriately selected infants with elongated ducts. Diameter and length of Amplatzer vascular plug II vis-a-vis those of the ductus are important determinants of the successful outcome.

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Section: Discussionmentioning

confidence: 72%

Section: Why the Ductal Length Is Crucial For Using Amplatzer Vasculamentioning

confidence: 83%

mentioning

confidence: 99%

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Transcatheter closure of elongated and pulmonary hypertensive patent arterial duct in infants using Amplatzer vascular plug II

et al. 2020

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Percutaneous Occlusion of Patent Ductus Arteriosus with the Amplatzer® Vascular Plug II Device: Early Experience in Three Reference Centres

Cited by 1 publication

References 6 publications

Transcatheter closure of elongated and pulmonary hypertensive patent arterial duct in infants using Amplatzer vascular plug II

Transcatheter closure of elongated and pulmonary hypertensive patent arterial duct in infants using Amplatzer vascular plug II

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