| Development of catheter-based treatment of patent ductus arteriosus: a medium-sized centre experience. | |
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MedLine Citation:
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PMID: 19303578 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Despite the availability of effective devices, percutaneous closure of patent ductus arteriosus (PDA) can be challenging in some situations. AIM: To describe our initial experience of percutaneous PDA closure. METHODS: Between 2001 and 2007, 73 consecutive patients aged 3 months to 70 years underwent transcatheter PDA closure. An Amplatzer duct occluder (ADO) was chosen for ducts greater than 2 mm (n=50) and a Detachable coil (DC) for smaller ducts (n=23). RESULTS: The diameter of the ducts ranged from 1 to 7.2 (mean 2.9+/-1.3) mm. The prostheses were implanted successfully in all patients. The complete closure rate reached 98% in the ADO group and 100% in the DC group at 12 months. Four (5.4%) patients showed asymptomatic device protrusion: three patients (5, 6 and 10 kg) into the aortic isthmus and one patient (7 kg) into the pulmonary artery (PA). One patient (7 kg) experienced transient severe bradycardia due to pulmonary air embolism. Another patient (3.3 kg) had a permanent asymptomatic occlusion of the femoral artery. In a third patient (17 kg), the ADO migrated asymptomatically into the descending aorta and was discovered 12 months later. CONCLUSION: Even during the learning curve, percutaneous PDA closure can give excellent results. Strict adherence to protocols and careful follow-up assessments are mandatory. In small infants, the use of the ADO may lead to obstruction in the aorta or PA, or to device migration. Cautious surveillance for untoward events is essential, especially in small infants with large ducts. |
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Authors:
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Zakhia Saliba; Issam El-rassi; Dina Helou; Pauline Abou-Jaoudeh; Ghassan Chehab; Linda Daou; Daniele Khater; Bernard Gerbaka; Victor Jebara |
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Publication Detail:
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Type: Journal Article Date: 2009-01-24 |
Journal Detail:
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Title: Archives of cardiovascular diseases Volume: 102 ISSN: 1875-2136 ISO Abbreviation: Arch Cardiovasc Dis Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-03-23 Completed Date: 2009-06-05 Revised Date: 2011-04-25 |
Medline Journal Info:
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Nlm Unique ID: 101465655 Medline TA: Arch Cardiovasc Dis Country: Netherlands |
Other Details:
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Languages: eng Pagination: 111-8 Citation Subset: IM |
Affiliation:
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Saint-Joseph university medical school, and Hôtel-Dieu de France hospital, Naccache boulevard, Beirut, Lebanon. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Distribution Aged Aortography Child Child, Preschool Ductus Arteriosus, Patent / pathology, therapy* Heart Catheterization* / adverse effects, instrumentation Humans Infant Magnetic Resonance Angiography Middle Aged Prosthesis Design Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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