Transcatheter Closure of Patent Ductus Arteriosus in infants between 2-10 kg

Authors : Ahmet Vedat KAVURT, Seçil SAYIN, Bilal ÖZELCE, Denizhan BAĞRUL, Alper GÜRSU, İbrahim ECE, İbrahim İlker ÇETİN

Pages : 30-38

Doi:10.12956/tchd.1190725

View : 11 | Download : 5

Publication Date : 2023-01-30

Article Type : Research Paper

Abstract :Objective: The aim of this study was to present our experiences on transcatheter patent ductus arteriosus insert ignore into journalissuearticles values(PDA); closure with different devices, mostly the Amplatzer Piccolo Occluder, in infants weighing between 2-10 kg. Material and Methods : In this study, the files of 31 patients who underwent transcatheter PDA closure between December 2019 and August 2022 were reviewed retrospectively. Results: Transcatheter PDA closure was performed on 31insert ignore into journalissuearticles values(14 female); infants weighing between 2-10 kg. The mean age of patients was 10.7±6.7 months insert ignore into journalissuearticles values(2-28);, and the mean weight was 6.6±2 kg insert ignore into journalissuearticles values(3-9.9);. The median narrowest diameter of the ductus was 2.2 mm insert ignore into journalissuearticles values(IQR 2-3); and the median ductus length was 6 mm insert ignore into journalissuearticles values(IQR 4.75-8);. The procedural success rate of all interventional procedures was 88% insert ignore into journalissuearticles values(30 of 34);. Complications occurred in a total of four patients including failure of device implantation in one patient, post-procedural device embolization in 2 patients, and the significant residual shunt in one patient. None of the patients required surgery. In 34 interventional procedures, 3 of which were reintervention, 34 devices were used. Twenty-seven insert ignore into journalissuearticles values(79%); of them were Amplatzer Piccolo Occluder. The median fluoroscopy and procedural times were 10.5 minutes insert ignore into journalissuearticles values(IQR 7.25-18.5); and 40 minutes insert ignore into journalissuearticles values(IQR 35-57.5); respectively. The mean duration of follow-up was 10.3±8.8 months insert ignore into journalissuearticles values(1-32 months);. Conclusion: In our experience, transcatheter treatment of PDA with the Amplatzer Piccolo Occluder device which was our first choice for appropriate duct anatomy and size in infants weighing between 2-10 kg, is safe and effective.
Keywords : Amplatzer Piccolo Occluder, cihaz embolizasyonu, Prematüre bebek