Stenting the neonatal arterial duct in duct-dependent pulmonary circulation: new techniques, better results

Gewillig, Marc; Boshoff, Derize; Dens, Joseph; Mertens, Luc; Benson, Lee

doi:10.1016/j.jacc.2003.08.029

Cited by 144 publications

(98 citation statements)

References 16 publications

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“…224,225 Az elmúlt évtizedben javultak a veleszületett cyanoticus szívbetegségben szenvedő csecsemőkön váloga-tott esetekben végzett ductusstentelés eredményei. [226][227][228][229][230][231][232] Az újabb beszámolókban leírt javuló kimenetel részben a koszorúerek stentelésére tervezett flexibilis, alacsony profilú, 4-5 F méretű hüvelyeken keresztül biztonságosan bejuttatható stentek megjelenésének tudható be. A betegek kiválasztása is javult, miután sikerült azonosítani azokat az újszülötteket, akik számára nagyobb valószínűséggel lesz előnyös a ductus stentelése.…”

Section: Kamrai Septumdefektusokunclassified

Indications for Cardiac Catheterization and Intervention in Pediatric Cardiac Disease

Feltes¹,

Bacha

Beekman³

et al. 2011

Circulation

745

571

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Section: Kamrai Septumdefektusokunclassified

Indications for Cardiac Catheterization and Intervention in Pediatric Cardiac Disease

Feltes¹,

Bacha

Beekman³

et al. 2011

Circulation

745

571

View full text Add to dashboard Cite

“…Improved results have been attributed to advances in technique, catheter delivery systems, and stent technology [13][14][15][16][17]. In our patient, patency of the right AD was maintained by stent implantation as an alternative to the surgical creation of an aortopulmonary artery shunt.…”

Section: Discussionmentioning

confidence: 86%

Persistence of bilateral arterial ducts in pulmonary atresia despite confluent branch pulmonary arteries: Opportunity for two percutaneous therapeautic alternatives

Texter

Shah

Carlson

et al. 2007

Cathet Cardio Intervent

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We present a case of a newborn infant with double inlet left ventricle, pulmonary atresia, confluent pulmonary arteries, and bilateral arterial ducts (AD), to discuss the therapeutic alternatives offered by interventional catheterization techniques in this anatomic arrangement. The infant initially underwent stenting of the right AD to stabilize pulmonary blood flow off of prostaglandin infusion. Three weeks later, she developed left pulmonary artery isolation upon closure of the left arterial duct. An additional stent was placed in the pulmonary artery confluence, restoring blood flow to the left lung and significantly improving her oxygen saturations. At 6 months of age she underwent her first surgical procedure, a successful bidirectional cavopulmonary anastomosis with removal of the left pulmonary artery stent and patch enlargement of the pulmonary artery confluence. She continues to do well in clinical follow-up at 16 months of age.

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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%

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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Stenting the neonatal arterial duct in duct-dependent pulmonary circulation: new techniques, better results

Abstract: With current technology, complete stenting of a short straight duct is a safe and effective palliation, allowing adequate growth of the pulmonary arteries.

Cited by 144 publications

References 16 publications

Indications for Cardiac Catheterization and Intervention in Pediatric Cardiac Disease

Indications for Cardiac Catheterization and Intervention in Pediatric Cardiac Disease

Persistence of bilateral arterial ducts in pulmonary atresia despite confluent branch pulmonary arteries: Opportunity for two percutaneous therapeautic alternatives

Stenting the arterial duct: Practical aspects and review of outcomes

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