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Transcatheter Occlusion of Patent Ductus Arteriosus: Success Rate and Complications 5 Years Experience: Single Center in Isfahan Pubmed



Ahmadi A1 ; Sabri M1 ; Hashemi M2 ; Gharipour M3
Authors
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Authors Affiliations
  1. 1. Department of Pediatrics, Pediatric Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Cardiology, Chamran Heart center, Isfahan University of Medical Science, Isfahan, Iran
  3. 3. Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Acta Biomedica Published:2014


Abstract

Background and aim: Percutaneous occlusion of patent ductus arteriosus (PDA) has become increasingly attractive with the evolution of devices and techniques. This study aimed to report the total experience of a novel arterial occlusion device (Duct Occlude pfm) and Amplatzer. Methods: A descriptive study which selected non-randomized pediatric patients with patent ductus arteriosus (PDA) was performed between May 2007 to February 2012 on 99 children aged 8 months to 16 years who underwent attempted closure of PDA. Transcatheter occlusion was attempted in all the cases of coil through a 4-5 F and for Amplatzer 6-7 F delivery catheter. Findings: Devices were successfully deployed in 98% of patients. Amplatzer was used for thirty four patients (34%) due to medium to large PDA and coil was selected for sixty five patients (66%) due to small to medium size PDA.One day after the procedure, complete occlusion was accomplished in 42 (69%) out of 61 patients in whom the detachable coil device had been used on color-flow Doppler echocardiography. Embolization of a coil occurred on 1 occasion. Conclusion: Methods of detachable coil and Amplatzer type occlusion system compares favorably with other methods of transcatheter PDA occlusion. © Mattioli 1885.