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

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