Stent implantation in the arterial duct of the newborn with duct-dependent pulmonary circulation: single centre experience from Turkey

Ödemiş, Ender; Haydın, Sertaç; Güzeltaş, Alper; Özyılmaz, İsa; Bilici, Meki; Bakır, İhsan

doi:10.1093/ejcts/ezr258

Cited by 31 publications

(23 citation statements)

References 11 publications

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“…29 Schneider and others later reported more favorable results in a more sizable series of patients with diverse CHD. [5][6][7][8]30,31 These results are summarized in Table 1.…”

Section: Clinical Results In the Literaturementioning

confidence: 94%

Stenting of Lesions in Patent Ductus Arteriosus with Duct-Dependent Pulmonary Blood Flow

Alwi

Mood

2013

Interventional Cardiology Clinics

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“…29 Schneider and others later reported more favorable results in a more sizable series of patients with diverse CHD. [5][6][7][8]30,31 These results are summarized in Table 1.…”

Section: Clinical Results In the Literaturementioning

confidence: 94%

Stenting of Lesions in Patent Ductus Arteriosus with Duct-Dependent Pulmonary Blood Flow

Alwi

Mood

2013

Interventional Cardiology Clinics

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“…Ductal stenting has become the preferred option because of its advantages: no need for surgery, shorter hospital stays, and lower risk of branch-PA distortion, chylothorax, and phrenic and vagal paralysis. 8,9 The rapid closure achieved with ductal stenting also eliminates the need for further interventions, especially in patients with hypoplasia of the RV who are candidates for biventricular repair. In our hospital, we prefer ductal stenting as first-line treatment in neonates who have critical pulmonary stenosis.…”

Section: Discussionmentioning

confidence: 99%

Two Cases of Transcatheter Closure of Central Aortopulmonary Shunts: One with an Amplatzer Duct Occluder II and One with an Amplatzer Vascular Plug I

Çelebi¹,

Yücel²,

Ballı³

et al. 2016

Texas Heart Institute Journal

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1 Overcirculation, thrombosis, and stenosis of the shunt are the main postoperative sequelae that necessitate urgent reintervention.2 Percutaneous transcatheter interventions on aortopulmonary shunts can eliminate the need for reoperation and substantially decrease postoperative morbidity and mortality rates. We report 2 pediatric cases of overcirculation caused by central aortopulmonary shunts, and our use of 2 different AmplAtzer devices to occlude them. Case Reports Patient 1A 13-day-old female infant with cyanosis was referred to our hospital. Echocardiograms revealed a nearly atretic pulmonary valve (PV), a mildly hypoplastic right ventricle (RV), a tricuspid annulus 9.5 mm in diameter (Z score, -1.84), and moderate tricuspid regurgitation. The patient was started on prostaglandin E 1 therapy, and emergency cardiac catheterization was undertaken. After predilating the PV with use of a 4-mm coronary balloon, we performed pulmonary balloon valvuloplasty with use of an 8-mm × 2-cm Tyshak ® Percutaneous Transluminal Valvuloplasty balloon (NuMED, Inc.; Hopkinton, NY). Thereafter, the patient's RV pressure decreased from 110 to 42 mmHg, and PV regurgitation was mild. We discontinued prostaglandin E 1 infusion and waited to see if the patient's oxygen saturation decreased; it remained at 80%, so infusion was ended. However, after 4 hours, we had to restart the infusion immediately, to undertake ductus stenting. When ductal patency could not be reestablished, we performed an emergency central aortopulmonary shunt operation with use of a 3.5-mm polytetrafluoroethylene (PTFE) graft. The patient's oxygen saturation increased from 64% to 88%, and she was discharged from the hospital on postoperative day 7.

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“…(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) The majority of patients underwent patent ductus arteriosus (PDA) stenting at an early age, usually shortly after birth, with weights ranging between 1.5 -4.5kg.…”

Section: Immediate Outcomes Of Pda Stentingmentioning

confidence: 99%

“…(15) Early re-intervention within the same admission consisted of mostly duct re-stenting. In most cases this was necessary to overcome early significant constriction as a result of unstented ductal segments.…”

Section: Introductionmentioning

confidence: 99%

Stenting the arterial duct: Practical aspects and review of outcomes

Buys

Brown

Greig

2017

SAHJ

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Maintaining ductus arteriosus patency by the percutaneous placement of coronary artery stents provides an alternative to surgical systemic-to-pulmonary artery shunts. This maintains pulmonary blood flow and serves as a temporary bridge towards later surgical repair. Since the first report by Gibbs, et al. in 1992, the success and outcome of ductal stenting have improved due to advances in technique and equipment. This is now considered an acceptable option for these patients in many centres. OUTCOMES OF DUCTUS ARTERIOSUS STENTING: A REVIEW OF CURRENT LITERATURE Immediate outcomes of PDA stentingA detailed description of the immediate outcomes of PDA stenting can be viewed in Table 1. (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) The majority of patients underwent patent ductus arteriosus (PDA) stenting at an early age, usually shortly after birth, with weights ranging between 1.5 -4.5kg.Procedural success was good and stent placement was successful in 80 to 100% of the cases. The effectiveness of the procedure is highlighted by the fact that all studies have shown a significant improvement in arterial saturations after stent placement. Some cases have required more than 1 stent in an attempt to ensure adequate coverage of the entire ductal length. Reported periprocedural complication rates were low: major complications included stent migration, acute thrombosis and permanent femoral vessel damage. Very few immediate deaths were directly related to

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Stent implantation in the arterial duct of the newborn with duct-dependent pulmonary circulation: single centre experience from Turkey

Cited by 31 publications

References 11 publications

Stenting of Lesions in Patent Ductus Arteriosus with Duct-Dependent Pulmonary Blood Flow

Stenting of Lesions in Patent Ductus Arteriosus with Duct-Dependent Pulmonary Blood Flow

Two Cases of Transcatheter Closure of Central Aortopulmonary Shunts: One with an Amplatzer Duct Occluder II and One with an Amplatzer Vascular Plug I

Stenting the arterial duct: Practical aspects and review of outcomes

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