Transcatheter Occlusion of Patent Ductus Arteriosus in Pre-Term Infants

Francis, Edwin; Singhi, Anil Kumar; Lakshmivenkateshaiah, Srinivas; Kumar, Raman

doi:10.1016/j.jcin.2010.01.016

Cited by 169 publications

(81 citation statements)

References 14 publications

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“…More recently, Baspinar et al reported similar success rate of 94.3% in 53 infants under 6 kg but a lower success rate of 81.2% in 16 premature infants weighing <2.5 kg and one procedure related death in this group. The feasibility of transcatheter closure in premature infants <2.5 kg has also been reported in a handful of case series with the smallest patient weighing 645 g having an uncomplicated closure with a 5 mm coil .…”

Section: Discussionmentioning

confidence: 86%

Outcome after transcatheter occlusion of patent ductus arteriosus in infants less than 6 kg: A national study from United Kingdom and Ireland

Kang

Jivanji

Mehta

et al. 2017

Cathet Cardio Intervent

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Transcatheter closure of PDA can be accomplished in selected infants weighing <6 kg despite the manufacturer's recommended weight limit of 6 kg for most ductal occluders. The embolization rate is higher than previously reported in larger patients. Retrievability of the occluder and duct morphology needs careful consideration before deciding whether surgical ligation or transcatheter therapy is the better treatment option.

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Section: Discussionmentioning

confidence: 86%

Outcome after transcatheter occlusion of patent ductus arteriosus in infants less than 6 kg: A national study from United Kingdom and Ireland

Kang

Jivanji

Mehta

et al. 2017

Cathet Cardio Intervent

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show abstract

“…Depending on the size and shape of PDA, various types of devices have been used in transcatheter closure of PDA. For most children and adult with PDA, safe and effective transcatheter closure of PDA has been achieved with ADO2,5,14,15). Also, varying sizes of PDA had been occluded with the use of single or multiple coils3,16).…”

Section: Discussionmentioning

confidence: 99%

Transcatheter closure of small ductus arteriosus with amplatzer vascular plug

et al. 2013

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PurposeThe purpose of this study was to share our experience of transcatheter closure of small patent ductus arteriosus (PDA) by using an Amplatzer vascular plug (AVP).MethodsWe reviewed the medical records of 20 patients who underwent transcatheter closure at Samsung Medical Center and Sejong General Hospital from January 2008 to August 2012. The size and shape of the PDAs were evaluated by performing angiograms, and the PDA size and the AVP devices size were compared.ResultsThe mean age of the patients was 54.9±45.7 months old. The PDAs were of type C (n=5), type D (n=12), and type E (n=3). The mean pulmonary end diameter of the PDA was 1.7±0.6 mm, and the aortic end diameter was 3.6±1.4 mm. The mean length was 7.3±1.8 mm. We used 3 types of AVP devices: AVP I (n=5), AVP II (n=7), and AVP IV (n=8). The ratio of AVP size to the pulmonary end diameter was 3.37±1.64, and AVP size/aortic end ratio was 1.72±0.97. The aortic end diameter was significantly larger in those cases repaired with AVP II than in the others (P=0.002). The AVP size did not significantly correlate with the PDA size, but did correlate with smaller ratio of AVP size to aortic end diameter (1.10±0.31, P=0.032).ConclusionTranscatheter closure of small PDA with AVP devices yielded satisfactory outcome. AVP II was equally effective with smaller size of device, compared to others.

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“…Delayed closure of the hemodynamically significant patent ductus arteriosus is related to the development of various morbidity in preterm infants21). Transcatheter closure of PDA can be considered as treatment option to avoid the risk of surgical ligation in these patients22).…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome of transcatheter closure of patent ductus arteriosus in small children weighing 10 kg or less

et al. 2010

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PurposeTranscatheter closure has become an effective therapy in most patients with patent ductus arteriosus (PDA). However, there are difficulties in transcatheter closure of PDA in small children. We reviewed clinical outcomes of transcatheter closure of PDA in children weighing less than 10 kg in a single center.MethodsBetween January 2003 and December 2009, 314 patients with PDA underwent transcatheter closure in our institute. Among them, 115 weighed less than 10 kg. All of these patients underwent transcatheter closure of PDA using either COOK Detachable Coil®, PFM Nit-Occlud®, or Amplatzer duct occluder®. A retrospective review of the treatment results and complications was performed.ResultsThe mean age of patients was 9.1±5.9 months (median, 8 months), and mean weight was 7.6±1.8 kg (median, 7.8 kg). The mean diameter of PDA was 3.2±1.4 mm (median, 3 mm). Complete occlusion occurred in 113 patients (98%). One patient was sent to surgery because of a failed attempt at device closure, and another patient had a small residual shunt after device placement. The average mean length of hospital stay was 3.0±3.3 days, and mean follow-up duration was 21.0±19.6 months. There were no major complications in any of the patients.ConclusionTranscatheter closure of PDA is considered safe and efficacious in infants weighing less than 10 kg. With sufficient experience and further effort, transcatheter closure of PDA can be accepted as the gold standard of treatment for this group of patients.

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Transcatheter Occlusion of Patent Ductus Arteriosus in Pre-Term Infants

Abstract: It is technically feasible to undertake transcatheter coil closure of PDA in carefully selected symptomatic pre-term infants, and it is a safe alternative to surgical ligation.

Cited by 169 publications

References 14 publications

Outcome after transcatheter occlusion of patent ductus arteriosus in infants less than 6 kg: A national study from United Kingdom and Ireland

Outcome after transcatheter occlusion of patent ductus arteriosus in infants less than 6 kg: A national study from United Kingdom and Ireland

Transcatheter closure of small ductus arteriosus with amplatzer vascular plug

Clinical outcome of transcatheter closure of patent ductus arteriosus in small children weighing 10 kg or less

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