Follow-Up Results of Device Occlusion of Patent Ductus Arteriosus
| Author | Hamid Amoozgar | en |
| Author | Sara Salehi | en |
| Author | Pouya Farhadi | en |
| Author | Mohammad Reza Edraki | en |
| Author | Mohammad Borzoee | en |
| Author | Gholamhossein Ajami | en |
| Author | Sirous Cheriki | en |
| Author | Hamid Mohammadi | en |
| Orcid | Mohammad Reza Edraki [0000-0003-2026-2764] | en |
| Issued Date | 2016-06-30 | en |
| Abstract | Background: Transcatheter patent ductus arteriosus (PDA) closure is an established procedure. Objectives: The aim of the study was to assess midterm follow up of the Nit-Occlud coil and the amplatzer ductal occluder (ADO) closure of PDA. Patients and Methods: In this cohort study, we collected the longitudinal data of patients who underwent percutaneous closure using coil or ADO from November 2005 to November 2013. A total of 404 patients with PDA closure by devices were included during the study period. Coil occlusion was performed in 220 patients and 184 patients underwent catheterization using ADO. Follow-up evaluations were performed with echocardiography at two weeks, two months, six months, and during the study period (in average 4.8 ± 3.8 years). Results: The patients’ mean age was 24 months (range: 1 - 312). The catheterization was successful in 393 (97.2%) patients and unsuccessful in 11 (2.7%). Immediate complete occlusion was seen in 290 (73.7 %) patients. The occlusion rates at two weeks, two months, six months, and during the study period were 73.7%, 84%, 93.6%, 98.7%, and 99.5%, respectively. Complications occurred in 23 (5.8%) patients during or immediately after the catheterization, and device embolization with 2.7% was the most common complication. Most complications occurred in a patient with pulmonary hypertension who was less than one year old and was undergoing the first year of experience with devices. Conclusions: Our findings showed that transcatheter occlusion of the PDA is an effective and safe intervention by coil or Amplatzer with excellent early and one-year outcomes. Pulmonary hypertension, age of less than 12 months and experience of less than one year may increase the complications of device closure. | en |
| DOI | https://doi.org/10.5812/ijp.3621 | en |
| Keyword | Transcatheter Occlusion | en |
| Keyword | Patent Ductus Arteriosus | en |
| Keyword | Coil Occlusion | en |
| Keyword | Amplatzer Ductal Occlude | en |
| Keyword | Treatment Outcome | en |
| Publisher | Brieflands | en |
| Title | Follow-Up Results of Device Occlusion of Patent Ductus Arteriosus | en |
| Type | Research Article | en |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- ijp-26-03-3621.pdf
- Size:
- 122.38 KB
- Format:
- Adobe Portable Document Format
- Description:
- Article/s PDF