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Research Article Open access CC BY 3.0

Clinical Study of Trans-catheter Closure of Patent Ductus Arteriosus with Occluder Devices among Children Aged 9 Months to 18 Years

I. O. Arodiwe, D. K. Adiele, J. M. Chinawa, V. Gouthami, K. S. Murthy, E. O. Obidike, J. C. Eze, F. Ujunwa

International Journal of TROPICAL DISEASE & Health · pp. 31–44 · Published 9 Oct 2013

10.9734/IJTDH/2014/6031

Abstract

Background and Objectives: This study was aimed at determining our experience with occluder devices over last 5 years. The objective of this study is to compare the complication rates and efficacy of different devices used for the closure of PDA. Methods: A cross-sectional retrospective study in which a review of the records of all children who had PDA surgery in a paediatric cardiac center, Innova Childrens’ Heart Hospital, Hyderabad, India over a five year period (June 2007 and July 2011) was undertaken. The hospital records showed that from June 2007 to July 2011, a total of 456 children aged 9 months to 18 years had trans-catheter closure over the study period, of these, 159 underwent trans-catheter device closure of PDA. A team of experienced paediatric cardiologist performed all the procedures. Results: Out of the 159 cases, 134 (84.2%) were successful while 25 (15.7%) were complicated. Five (5) {20.0%} cases had temporary residual leak, 3 (12.0%) had failure of the procedure that required surgical intervention, 9 (36.0%) had protrusion of the device into the aorta without significant Doppler pressure gradient. There exist a relation between success, complication and device used for the procedure.The type of occluder device used for the procedure significantly affect the outcome (χ2 = 16.37; p = 0.02) Chinese occlude devise had the highest success rate. Twenty five (25.0) {15.7%} patients had complications in all. The commonest complication (protrusion of the device into the aorta) was seen in 3 (1.8%) cases with Chinese duct occluder, 3(1.8%) with Sear Heart R and 3 (1.8%) cases with ADOs. Non died from the procedure. Conclusion: The commonest complication is (protrusion of the device into the aorta) with Chinese occludes devise showing the highest success rate. The learning curve and accumulating experience play an indispensable role in choosing the proper device and its size.

Patent ductus arteriosus Trans-catheter closure Duct occluder coil closure complications

References (24)

  1. 1 Patent Ductus Arteriosus [DOI]
  2. 2 Multicenter USA Amplatzer Patent Ductus Arteriosus Occlusion Device Trial [DOI]
  3. 3 Long-term outcome of transcatheter patent ductus arteriosus closure using Amplatzer duct occluders [DOI]
  4. 4 Transcatheter closure of patent ductus arteriosus with severe pulmonary arterial hypertension in adults [DOI]
  5. 5 Transcatheter closure of patent ductus arteriosus [DOI]
  6. 6 Transcatheter coil occlusion of the arterial duct. Results of the European Registry [DOI]
  7. 7 Conservative treatment for patent ductus arteriosus in the preterm [DOI]
  8. 8 Clinically silent patent ductus arteriosus [DOI]
  9. 9 Complications after Transcatheter Closure of Patent Ductus Arteriosus [DOI]
  10. 10 Outcomes following the surgical ligation of the patent ductus arteriosus in premature infants in Scotland [DOI]
  11. 11 A strategic approach to transcatheter closure of patent ductus: Gianturco coils for small-to-moderate ductus and Amplatzer duct occluder for large ductus [DOI]
  12. 12 Transcatheter Closure of Moderate-to-Large Patent Ductus Arteriosus in Infants Using Amplatzer Duct Occluder [DOI]
  13. 13 Patent ductus arteriosus in adults [DOI]
  14. 14 Transcatheter closure of small-to-large patent ductus arteriosus with different devices: queries and challenges.
  15. 15 Transcatheter closure of patent ductus arteriosus: Evaluating the effect of the learning curve on the outcome [DOI]
  16. 16 Severe hemolysis complicating transcatheter occlusion of a patent ductus arteriosus: the importance of elimination of residual flow.
  17. 17 Management of patent ductus arteriosus in preterm infants.
  18. 18 Percutaneous closure of patent ductus arteriosus: complementary use of detachable Cook patent ductus arteriosus coils and Amplatzer duct occluders [DOI]
  19. 19 Comparison of percutaneous closure of large patent ductus arteriosus by multiple coils versus the Amplatzer duct occluder device [DOI]
  20. 20 Severe intravascular hemolysis after transcatheter coil occlusion of patent ductus arteriosus.
  21. 21 Fortschritte beim interventionellen Verschluss des persistierenden Ductus arteriosus: Vergleich der Ergebnisse mit unterschiedlichen Verschlusssystemen [DOI]
  22. 22 Transcatheter closure of patent ductus arteriosus in Chinese adults: immediate and long-term results.
  23. 23 Percutaneous Closure of Patent Ductus Arteriosus in an Asymptomatic Adult [DOI]
  24. 24 [Transcatheter treatment of patent ductus arteriosus].

Cited by 1

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Senka Mesihović Dinarević, Almira Kadić, Zijo Begić · Journal of Health Sciences · 2014

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