Clinical Outcomes After Percutaneous Patent Ductus Arteriosus Closure in Adults

Wilson, William; Shah, Ashish; Osten, Mark; Benson, Lee; Abraha, Natalie; Breitner, Daniel; Horlick, Eric

doi:10.1016/j.cjca.2019.11.025

Cited by 14 publications

(14 citation statements)

References 25 publications

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“…Then, blood oxygen saturation and chamber pressure were measured in superior and inferior vena cava, right atrium, right ventricle, pulmonary artery, and pulmonary arteriole. Fick method was used to detect cardiac output (CO) [14], the pulmonary-to-systemic blood flow ratio (Qp/Qs), pulmonary vascular resistance (PVR), and the pulmonary vascular resistance to systemic vascular resistance ratio (Rp/Rs).…”

Section: Cardiovascular Angiographymentioning

confidence: 99%

Evaluation of Cardiac Function Characteristics after Patent Ductus Arteriosus Closure in Children and Adults by Echocardiographic Data

Chen

2022

Computational and Mathematical Methods in Medicine

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This study was to investigate the value of echocardiographic data in assessing changes in cardiac function before and after transcatheter closure in children and adult patients with patent ductus arteriosus (PDA). In this study, 150 patients with isolated PDA treated by cardiac catheterization and transcatheter closure were selected as the study sample. Real-time color Doppler echocardiography was used both after and after operation. The results showed that the left ventricle returned to normal in 75 patients one day after operation, with an average age of 10.95 ± 3.27 years; the left ventricle did not return to normal in 10 patients 360 days after operation, with an average age of 64.31 ± 7.05 years. Left ventricular end diastolic volume index (LVEDVI) and left ventricular end systolic volume index (LVESVI) of patients decreased significantly one day after operation and remained at 51.95 ± 9.55 mL/m2 and 20.36 ± 8.11 mL/m-2, respectively. In summary, echocardiographic data have a high reference value in assessing cardiac function characteristics in children and adult patients with PDA and are worthy of further promotion.

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Section: Cardiovascular Angiographymentioning

confidence: 99%

Evaluation of Cardiac Function Characteristics after Patent Ductus Arteriosus Closure in Children and Adults by Echocardiographic Data

Chen

2022

Computational and Mathematical Methods in Medicine

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“…These results were similar to the study conducted by Wilson WM. 10 In our study wire was crossed across PDA from antegrade approach in 108 cases (97%) but Wilson recorded a this in 79% cases. Similar results were noted in other studies too.…”

Section: Discussionmentioning

confidence: 59%

Challenges in device closure of PDA in adults.

Chaudhry¹,

Younas²,

Beg³

et al. 2021

TPMJ

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Objective: To describe the challenges and outcomes of per cutaneous closure of PDA in adolescents and adults. Study Design: Cross Sectional, Retrospective Analysis. Setting: Department of Pediatric Cardiology, CPE Institute of Cardiology, Multan. Period: 2017 to 2019. Material & Methods: A total of 111 adolescent and adult patients were included in the study. Patients with irreversible severe pulmonary hypertension were not included. Sampling with consecutive nonprobability was done. Procedure was done according to standard protocols. Different devices were used in different patients according to morphology of defect. Devices included SHSMA and Lifetech duct occluders. In two patients VSD muscular devices were also used. Results: Mean age was 22 + 7.88 years. Out of these 111 subjects, 72 (63%) were female and 39 (37%) were male with a ratio of 1.84:1. Two patients were of moderate size (3-5mm) PDA, 26 (27%) were of moderately large (5-7mm) size and majority of patients had large size (>7mm) PDA (55%). Majority of PDAs were type A (100, 90%), one was type B, 4 were type C and 6 were of type E according to Krichenko classification. No complications occurred except in one patient in which device was embolized. Foaming through the device was noted in 65 patients after 24 hours post procedure echocardiography. Conclusion: It was concluded that PDA device closure has its own challenges in adults but it is safe and effective as well.

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“…The PDA diameter in the FAA group (2.10 ± 0.58 mm) was significantly smaller than that in patients in whom the other approaches were used. Although, the FAA was adopted in patients with a diameter of <3 mm in our institution, the ADO II device could be used in the diameter up to 5.5 mm ( 13 ). And the experience had shown the >3 mm PDA was feasible using Chinese-made occluders and had the same effect as ADO I ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

“…The traditional approach requires puncture of both the femoral artery and vein, which poses the risk of femoral artery aneurysm and femoral arteriovenous fistula. There have been marked advances in devices such as Amplatzer Duct Occluder II (ADO-II) or vascular plug through 5Fr delivery sheath in the past five decades (10)(11)(12)(13)(14)(15), making it possible for cardiologists to deliver occluders via different approaches. Currently, there is no study to compare different PDA closure methods.…”

Section: Introductionmentioning

confidence: 99%

Transcatheter Closure of Patent Ductus Arteriosus via Different Approaches

Zhou

Gu²,

Zheng³

et al. 2022

Front. Cardiovasc. Med.

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Background: There have been marked advances in devices such as Amplatzer Duct Occluder II (ADO-II) or vascular plug through 5Fr delivery sheath for closure of patent ductus arteriosus (PDA) in the past five decades, making it possible for cardiologists to deliver occluders via different approaches. However, comparisons of these different approaches have not been reported. Therefore, the aim of this study was to summarize and compare the advantages of different approaches for PDA closure, and to guide clinical strategies.Methods: This retrospective study included all patients undergoing transcatheter closure of PDA from 2019 to 2020. Patients were matched by 1:1 propensity score matching (PSM). The retrograde femoral artery approach (FAA) and simple vein approach (SVA) groups were compared with the conventional arteriovenous approach (CAA).Results: The average age of the 476 patients was 21.05 ± 21.15 years. Their average weight was 38.23 ± 24.1 kg and average height was 130.14 ± 34.45 cm. The mean diameter of the PDA was 4.29 ± 2.25 mm. There were 127 men and 349 women, comprising 205 adults and 271 children. Among them, 197 patients underwent CAA, 223 underwent SVA, and 56 underwent retrograde FAA. The diameter in the FAA group was smaller than that in the other two groups, but was similar in adults and children. In the PSM comparison of CAA and SVA, 136 patients with CAA and 136 patients with SVA were recruited. Simple vein approach was associated with markedly reduced length of hospital stay, length of operation, and contrast medium usage as compared with CAA (all P < 0.05). In the PSM comparison of FAA and CAA, 30 patients with CAA and 30 patients with FAA were recruited. The operation duration was longer in the CAA than in the FAA group. There were no significant differences in postoperative complications among groups.Conclusion: Patent ductus arteriosus closure by using the SVA and FAA is safe and effective, and has certain advantages in some respects as compared with CAA.

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Clinical Outcomes After Percutaneous Patent Ductus Arteriosus Closure in Adults

Cited by 14 publications

References 25 publications

Evaluation of Cardiac Function Characteristics after Patent Ductus Arteriosus Closure in Children and Adults by Echocardiographic Data

Evaluation of Cardiac Function Characteristics after Patent Ductus Arteriosus Closure in Children and Adults by Echocardiographic Data

Challenges in device closure of PDA in adults.

Transcatheter Closure of Patent Ductus Arteriosus via Different Approaches

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