Transcatheter Closure of Patent Ductus Arteriosus Using the Amplatzer Duct Occluder in Infants Under 1 Year of Age

Parra-Bravo, Rafael; Cruz-Ramírez, Arturo; Rebolledo-Pineda, Víctor; Robles-Cervantes, Jorge; Chávez-Fernández, Alejandro; Beirana-Palencia, Luisa; Jiménez-Montufar, Laura; Estrada-Loza, María de Jesús; Estrada-Flores, José; Báez-Zamudio, Nelson; Escobar-Ponce, Mariano

doi:10.1016/s1885-5857(09)72651-9

Cited by 20 publications

(19 citation statements)

References 29 publications

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“…8 out of the 39 patients (20.5%) had minor complications while 12 patients (30.7%) has residual flow immediately after procedure. 6 Among our 25 patients, the mean PDA size was 3.1 mm with a success rate of 96%. One patient had device embolization into right pulmonary artery.…”

Section: Discussionmentioning

confidence: 80%

Peri-procedural outcome of transcatheter interventions for congenital heart diseases in children in a tertiary level hospital in South Tamil Nadu, India

Masaraddi

Sukulal

et al. 2018

Int J Contemp Pediatr

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Background: Transcatheter based therapies in congenital heart defects have gained popularity, as the morbidity associated with the correction of these defects has been dramatically reduced. Complication rates in this group of children are low and our centre is striving to achieve the same outcome as other major centres. Objective of this study sought to determine the institutional complication rates in a group of children who underwent transcatheter interventions for their congenital heart diseaseMethods: This prospective observational study enrolled 125 patients who underwent elective transcatheter cardiac interventions for congenital heart defects between February 2014 and January 2018. Major and minor complications were predefined.Results: The age of these children ranged from 9 months to 18 years (mean age 9.22 years). The success rate was 99.2% (124/125). Few children (16%) had minor procedure related complications. Only 1 child had a major complication.Conclusions: Transcatheter cardiac interventions in children are highly successful. Meticulous planning and proper case selection are the major contributors for the success of any centre.

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Section: Discussionmentioning

confidence: 80%

Peri-procedural outcome of transcatheter interventions for congenital heart diseases in children in a tertiary level hospital in South Tamil Nadu, India

Masaraddi

Sukulal

et al. 2018

Int J Contemp Pediatr

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“…[6] However, there are some complications pertaining to these procedures including dislodgement of the device into aorta or pulmonary artery, residual shunt with or without hemolysis, endocarditis, thromboembolism, wirefracture or device disruption. [7] Major complication risk is almost 10% in some studies [8]. Device dislodgement, the most significant [9], constitutes complication rate of 1.4% in large series 10 .…”

Section: Discussionmentioning

confidence: 99%

Review of Literature and Case Report for a Two Year Old Child with Dislodged PDA Device into External Iliac Artery

Mir¹,

Sathe²,

D’souza³

et al. 2016

IOSR

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“…The most common complications of ADO are device embolization, left pulmonary stenosis, implant migration, and even intraoperative deaths. Other complications are transient loss of arterial pulse after procedure, blood loss requiring transfusion, haematoma, complete heart block, ventricular tachyarrhythmia, hypotension, injury of the aortic valve, aortic obstruction, cardiac arrest, cardiac perforation, stroke and device-related haemolysis [3, 4]. There are also reports of embolization caused by device displacement to the pulmonary artery.…”

Section: Discussionmentioning

confidence: 99%

“…Corp., USA) were implanted with good results including in children under 6 months and body mass even less than 6 kg. The main advantages of ADO were small diameters of the detachment system and lower incidence of residual leaks, embolization, haemolysis, and left pulmonary artery (LPA) stenosis [3]. The use of ADO, although safe and effective in the closure of arterial ducts in small babies, remains a difficult procedure in inconvenient anatomy and large diameters of the PDA.…”

Section: Introductionmentioning

confidence: 99%

Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report.

Haponiuk¹,

Chojnicki²,

Jaworski³

et al. 2012

Videosurgery and Other Miniinvasive Techniques

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We report a case of an 8-month-old girl admitted to the Department of Paediatric Cardiac Surgery, Pomeranian Centre of Traumatology in Gdansk with migration of an Amplatzer Duct Occluder II device (AGA Med. Corp., USA) to the left pulmonary artery after interventional patent arterial duct (PDA) closure. Using a hybrid strategy, we performed a classical surgical closure of the PDA with simultaneous intraoperative miniinvasive catheter removal of the displaced implant from the left pulmonary artery using a muscle bioptome (Cook, EU). The procedure was successful, without any further complications. Percutaneous procedures of PDA closure in small children, although safe and effective, are associated with a risk of accompanying complications, especially in patients with inconvenient anatomy. Our strategy demonstrates that a miniinvasive hybrid strategy could be beneficial for the patient with implant PDA migration after a failed interventional procedure. We strictly maintain the practice of qualifying these borderline patients with great care to avoid predictable complications, and to provide immediate surgical support in any emergency, following modern models of cooperation between cardiologists and cardiac surgeons in hybrid heart teams. A modern strategy that combines miniinvasive cardiac surgery with interventional techniques provides new, effective algorithms for selective difficult clinical settings.

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Transcatheter Closure of Patent Ductus Arteriosus Using the Amplatzer Duct Occluder in Infants Under 1 Year of Age

Cited by 20 publications

References 29 publications

Peri-procedural outcome of transcatheter interventions for congenital heart diseases in children in a tertiary level hospital in South Tamil Nadu, India

Peri-procedural outcome of transcatheter interventions for congenital heart diseases in children in a tertiary level hospital in South Tamil Nadu, India

Review of Literature and Case Report for a Two Year Old Child with Dislodged PDA Device into External Iliac Artery

Miniinvasive hybrid procedure for device migration after percutaneous closure of persistent arterial duct: a case report.

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