Outcome after transcatheter occlusion of patent ductus arteriosus in infants less than 6 kg: A national study from United Kingdom and Ireland

被引：22

作者：

Kang, Sok-Leng ^{[1
]}

Jivanji, Salim ^{[2
]}

Mehta, Chetan ^{[3
]}

Tometzki, Andrew J. ^{[1
]}

Derrick, Graham ^{[2
]}

Yates, Robert ^{[2
]}

Khambadkone, Sachin ^{[2
]}

de Giovanni, Joseph ^{[3
]}

Stumper, Oliver ^{[3
]}

Dhillon, Rami ^{[3
]}

Bhole, Vinay ^{[3
]}

Slavik, Zdenek ^{[4
]}

Rigby, Michael ^{[4
]}

Noonan, Patrick ^{[5
]}

Smith, Ben ^{[5
]}

Knight, Brodie ^{[5
]}

Richens, Trevor ^{[6
]}

Wilson, Neil ^{[7
]}

Walsh, Kevin ^{[8
]}

James, Adam ^{[8
]}

Thomson, John ^{[9
]}

Bentham, Jamie ^{[9
]}

Hayes, Nicholas ^{[6
]}

Nazir, Sajid ^{[6
]}

Adwani, Satish ^{[10
]}

Shauq, Arjamand ^{[11
]}

Ramaraj, Ram ^{[11
]}

Duke, Christopher ^{[12
]}

Taliotis, Demetris ^{[1
]}

Kudumula, Vikram ^{[12
]}

Yong, San-Fui ^{[12
]}

Morgan, Gareth ^{[7
]}

Rosenthal, Eric ^{[13
]}

Krasemann, Thomas ^{[13
]}

Qureshi, Shakeel ^{[13
]}

Crossland, David ^{[14
]}

Hermuzi, Tony ^{[14
]}

Martin, Robin P. ^{[1
]}

机构：

[1] Bristol Royal Hosp Children, Dept Paediat Cardiol, Bristol, Avon, England

[2] Great Ormond St Hosp Sick Children, Dept Paediat Cardiol, London, England

[3] Birmingham Childrens Hosp, Dept Paediat Cardiol, Birmingham, W Midlands, England

[4] Royal Brompton Hosp, Dept Paediat Cardiol, London, England

[5] Royal Hosp Children Glasgow, Dept Paediat Cardiol, Glasgow, Lanark, Scotland

[6] Southampton Gen Hosp, Dept Paediat Cardiol, Southampton, England

[7] Childrens Hosp Colorado, Dept Paediat Cardiol, Denver, CO USA

[8] Our Ladys Children Hosp, Dept Paediat Cardiol, Dublin, Ireland

[9] Leeds Gen Infirm, Dept Paediat Cardiol, Leeds, W Yorkshire, England

[10] Oxford Univ Hosp, Dept Paediat Cardiol, Oxford, England

[11] Alder Hey Childrens Hosp, Dept Paediat Cardiol, Liverpool, Merseyside, England

[12] Univ Hosp Leicester, Dept Paediat Cardiol, Leicester, Leics, England

[13] Evelina Childrens Hosp, Dept Paediat Cardiol, London, England

[14] Newcastle Upon Tyne Hosp, Dept Paediat Cardiol, Newcastle Upon Tyne, Tyne & Wear, England

来源：

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS | 2017年 / 90卷 / 07期

关键词：

cardiac catheterization; congenital; heart defects; Paediatrics; WEIGHING LESS-THAN-OR-EQUAL-TO-6 KG; VOCAL CORD PARALYSIS; TERM-FOLLOW-UP; PRETERM INFANTS; CLOSURE; OCCLUDER; EXPERIENCE; LIGATION; CHILDREN; DEVICES;

D O I：

10.1002/ccd.27212

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectivesThis study aimed to report our national experience with transcatheter patent ductus arteriosus (PDA) occlusion in infants weighing <6 kg. BackgroundThe technique of transcatheter PDA closure has evolved in the past two decades and is increasingly used in smaller patients but data on safety and efficacy are limited. MethodsPatients weighing<6 kg in whom transcatheter PDA occlusion was attempted in 13 tertiary paediatric cardiology units in the United Kingdom and Ireland were retrospectively analyzed to review the outcome and complications. ResultsA total of 408 patients underwent attempted transcatheter PDA closure between January 2004 and December 2014. The mean weight at catheterization was 4.91.0 kg and mean age was 5.7 +/- 3.0 months. Successful device implantation was achieved in 374 (92%) patients without major complication and of these, complete occlusion was achieved in 356 (95%) patients at last available follow-up. Device embolization occurred in 20 cases (5%). The incidence of device related obstruction to the left pulmonary artery or aorta and access related peripheral vascular injury were low. There were no deaths related to the procedure. ConclusionsTranscatheter closure of PDA can be accomplished in selected infants weighing <6 kg despite the manufacturer's recommended weight limit of 6 kg for most ductal occluders. The embolization rate is higher than previously reported in larger patients. Retrievability of the occluder and duct morphology needs careful consideration before deciding whether surgical ligation or transcatheter therapy is the better treatment option.

引用

页码：1135 / 1144

页数：10

共 29 条

[1] Significant persistent ductus arteriosus in infants less or equal to 6 kg: Percutaneous closure or surgery? [J].

Abadir, Sylvia ;

Boudjemline, Younes ;

Rey, Christian ;

Petit, Jerome ;

Sassolas, Francois ;

Acar, Philippe ;

Fraisse, Alain ;

Dauphin, Claire ;

Piechaud, Jean-Francois ;

Chantepie, Alain ;

Lusson, Jean-Rene .

ARCHIVES OF CARDIOVASCULAR DISEASES, 2009, 102 (6-7) :533-540

[2] Transcatheter closure of patent ductus arteriosus: Past, present and future [J].

Baruteau, Alban-Elouen ;

Hascoet, Sebastien ;

Baruteau, Julien ;

Boudjemline, Younes ;

Lambert, Virginie ;

Angel, Claude-Yves ;

Belli, Emre ;

Petit, Jerome ;

Pass, Robert .

ARCHIVES OF CARDIOVASCULAR DISEASES, 2014, 107 (02) :122-132

[3] Transcatheter Closure of Patent Ductus Arteriosus in Under 6 kg and Premature Infants [J].

Baspinar, Osman ;

Sahin, Derya Aydin ;

Sulu, Ayse ;

Irdem, Ahmet ;

Gokaslan, Gokhan ;

Sivasli, Ercan ;

Kilinc, Metin .

JOURNAL OF INTERVENTIONAL CARDIOLOGY, 2015, 28 (02) :180-189

[4] Ductal Spasm During Performance of Transcatheter Ductal Occlusion [J].

Batlivala, Sarosh P. ;

Glatz, Andrew C. ;

Gillespie, Matthew J. ;

Dori, Yoav ;

Rome, Jonathan J. .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2014, 83 (05) :762-767

[5] Long-term morbidities associated with vocal cord paralysis after surgical closure of a patent ductus arteriosus in extremely low birth weight infants [J].

Benjamin, J. R. ;

Smith, P. B. ;

Cotten, C. M. ;

Jaggers, J. ;

Goldstein, R. F. ;

Malcolm, W. F. .

JOURNAL OF PERINATOLOGY, 2010, 30 (06) :408-413

[6] Echocardiographically Guided Catheter Closure of Arterial Ducts in Small Preterm Infants on the Neonatal Intensive Care Unit [J].

Bentham, Jamie ;

Meur, Saumen ;

Hudsmith, Lucy ;

Archer, Nick ;

Wilson, Neil .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2011, 77 (03) :409-415

[7] Report from The International Society for Nomenclature of Paediatric and Congenital Heart Disease: cardiovascular catheterisation for congenital and paediatric cardiac disease (Part 2-Nomenclature of complications associated with interventional cardiology) [J].

Bergersen, Lisa ;

Giroud, Jorge Manuel ;

Jacobs, Jeffrey Phillip ;

Franklin, Rodney Cyril George ;

Beland, Marie Josee ;

Krogmann, Otto Nils ;

Aiello, Vera Demarchi ;

Colan, Steven D. ;

Elliott, Martin J. ;

Gaynor, J. William ;

Kurosawa, Hiromi ;

Maruszewski, Bohdan ;

Stellin, Giovanni ;

Tchervenkov, Christo I. ;

Walters, Henry Lane, III ;

Weinberg, Paul ;

Everett, Allen Dale .

CARDIOLOGY IN THE YOUNG, 2011, 21 (03) :260-265

[8] The Amplatzer duct occluder: Experience in 209 patients [J].

Bilkis, AA ;

Alwi, M ;

Hasri, S ;

Haifa, AL ;

Geetha, K ;

Rehman, MA ;

Hasanah, I .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (01) :258-261

[9] Percutaneous Closure of Patent Ductus Arteriosus: A Multiinstitutional Registry Comparing Multiple Devices [J].

Brunetti, Marissa A. ;

Ringel, Richard ;

Owada, Carl ;

Coulson, John ;

Jennings, Jacky M. ;

Hoyer, Mark H. ;

Everett, Allen D. .

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2010, 76 (05) :696-702

[10] 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

← 1 2 3 →