Closure of Patent Ductus Arteriosus in Children, Small Infants, and Premature Babies with Amplatzer Duct Occluder II Additional Sizes: Multicenter Study
Küçük Resim Yok
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley-Blackwell
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
ObjectivesTo evaluate safety and efficacy of closure of patent ductus arteriosus (PDA) with Amplatzer duct occluder II Additional Sizes (ADO II AS) and to report early and midterm results of the device in children and very young symptomatic infants. MethodsRetrospective analysis of angiographic data of 60 children from four pediatric cardiology centers. ResultsThe median patient age and weight were 6.5 (0.5-168) months and 6.8 (1.19-57) kg, respectively. In the study, 26 children had a body weight of 6 kg. Of these 26 children, 9 had a body weight of 3 kg. The median narrowest diameter of PDA was 2 (1.2-4) mm. Ductal anatomy was Type A in 29, Type B in 2, Type C in 11, Type D in 1, and Type E in 16 patients, and a residual PDA after surgery in 1 patient. Closure with ADO II AS was achieved in 58 (96.6%) of 60 attempted cases. In two infants, the device was not released because of significant residual shunt. ADO II was used in one, and the other was sent to surgery. Complete closure was observed in all ADO II AS deployed children by the next day on echocardiography. Median follow-up was 12 (1-18) months. Neither death nor any major complications occurred. ConclusionsOur study shows that closure of medium and small sized PDA by using ADO II AS device is effective and safe in children. The use of the device will expand the field of application of PDA closure in small infants. (c) 2013 Wiley Periodicals, Inc.
Açıklama
Anahtar Kelimeler
patent ductus arteriosus, duct occluder, children, premature baby, pediatric interventions
Kaynak
Catheterization and Cardiovascular Interventions
WoS Q Değeri
Q2
Scopus Q Değeri
Q1
Cilt
82
Sayı
2
