Outcomes of Transcatheter Occlusion of Patent Ductus Arteriosus in Infants Weighing ≤6 kg

被引：68

作者：

Dimas, V. Vivian ^{[2
]}

Takao, Cheryl ^{[3
]}

Ing, Frank F. ^{[2
,3
]}

Mattamal, Raphael ^{[2
]}

Mbbs, Alan W. Nugent ^{[2
]}

Grifka, Ronald G. ^{[2
]}

Mullins, Charles E. ^{[2
]}

Justino, Henri ^{[1
,2
]}

机构：

[1] Texas Childrens Hosp, Mullins Cardiac Catheterizat Labs, Lillie Frank Abercrombie Sect Cardiol, Houston, TX 77030 USA

[2] Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA

[3] Childrens Hosp San Diego, Div Cardiol, San Diego, CA USA

来源：

JACC-CARDIOVASCULAR INTERVENTIONS | 2010年 / 3卷 / 12期

关键词：

congenital heart disease; patent ductus arteriosus; pediatric cardiac catheterization; CLOSURE; CHILDREN;

D O I：

10.1016/j.jcin.2010.08.022

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objectives We sought to analyze the outcomes of transcatheter patent ductus arteriosus (PDA) occlusion using a variety of devices in infants weighing <= 6 kg. Background Indications for transcatheter closure of a PDA in infancy include congestive heart failure and/or failure to thrive. Devices available for small infants may be problematic for various reasons, including sheath size, stiffness of delivery system, and anchoring and retrievability characteristics of the device. The Amplatzer Ductal Occluder is approved by U.S. Food and Drug Administration for children weighing >6 kg and older than 6 months of age. Methods We performed a multicenter, retrospective analysis of children weighing <= 6 kg in whom transcatheter PDA occlusion was attempted between January 1995 and November 2005 at Texas Children's Hospital and January 2001 to November 2005 at Children's Hospital of San Diego. Results A total of 62 patients underwent attempted closure. The mean age at catheterization was 4.7 +/- 2.8 months with a mean weight at catheterization of 4.6 +/- 0.9 kg. Successful device placement was achieved in 58 of 62 patients (94%). Among those receiving a device, complete occlusion was noted in all 58 patients at either catheterization or last available follow-up. Conclusions Percutaneous closure of PDA should be considered even in infants <= 6 kg. (J Am Coll Cardiol Intv 2010;3:1295-9) (C) 2010 by the American College of Cardiology Foundation

引用

页码：1295 / 1299

页数：5

共 11 条

[1] Transcatheter closure of persistent ductus arteriosus with the Amplatzer duct occluder in very young symptomatic children [J].

Butera, G ;

De Rosa, G ;

Chessa, M ;

Piazza, L ;

Delogu, A ;

Frigiola, A ;

Carminati, M .

HEART, 2004, 90 (12) :1467-1470

[2] PERCUTANEOUS CLOSURE OF THE SMALL (LESS-THAN-2.5 MM) PATENT DUCTUS-ARTERIOSUS USING COIL EMBOLIZATION [J].

CAMBIER, PA ;

KIRBY, WC ;

WORTHAM, DC ;

MOORE, JW .

AMERICAN JOURNAL OF CARDIOLOGY, 1992, 69 (08) :815-816

[3] Patent ductus arteriosus and its treatment as risk factors for neonatal and neurodevelopmental morbidity [J].

Chorne, Nancy ;

Leonard, Carol ;

Piecuch, Robert ;

Clyman, Ronald I. .

PEDIATRICS, 2007, 119 (06) :1165-1174

[4] Challenges encountered during closure of patent ductus arteriosus [J].

Ewert, P .

PEDIATRIC CARDIOLOGY, 2005, 26 (03) :224-229

[5] Transcatheter closure of the patent ductus arteriosus [J].

Grifka, RG .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2004, 61 (04) :554-570

[6]

Krichenko A, 1989, AM J CARDIOL, V90, P2525

[7] VENTILATORY CONSEQUENCES OF THE LATERAL POSITION AND THORACTOMY IN CHILDREN [J].

LARSSON, A ;

JONMARKER, C ;

JOGI, P ;

WERNER, O .

CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1987, 34 (02) :141-145

[8] Multicenter USA amplatzer patent ductus arteriosus occlusion device trial - Initial and one-year results [J].

Pass, RH ;

Hijazi, Z ;

Hsu, DT ;

Lewis, V ;

Hellenbrand, WE .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (03) :513-519

[9]

Rutledge Jennifer M, 2003, Expert Rev Cardiovasc Ther, V1, P411, DOI 10.1586/14779072.1.3.411

[10] Patent ductus arteriosus [J].

Schneider, Douglas J. ;

Moore, John W. .

CIRCULATION, 2006, 114 (17) :1873-1882

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