The Results of Transcatheter Occlusion of Patent Ductus Arteriosus: Success Rate and Complications Over 12 Years in a Single Center
Korean Circulation Journal
; : 230-234, 2010.
Article
in En
| WPRIM
| ID: wpr-28917
Responsible library:
WPRO
ABSTRACT
BACKGROUND AND OBJECTIVES:
Percutaneous occlusion of patent ductus arteriosus (PDA) has become increasingly attractive with the evolution of devices and techniques. We reviewed results for percutaneous occlusion of PDA using various devices in a single center. SUBJECTS ANDMETHODS:
A retrospective review was done for 118 consecutive procedures performed in 111 patients with PDA between January 1996 and December 2007.RESULTS:
The median age of the patients was 4.5 years (0.9 to 60.3 years); body weight was 16.9 kg (6.8 to 74.7 kg). The median PDA diameter at the pulmonic end was 3.8 mm (0.7 to 10 mm); mean pulmonary artery pressure was 21.0 mmHg (7 to 60 mmHg). Complete occlusion occurred in 76/111 (68.4%) immediately after implantation and in 100/111 (90.0%) at one year of follow-up. Second procedures for residual shunts were done in 7 patients. After the year 2001, the complete closure rate was 95.2% compared to 71.4% before 2001. Complications associated with the procedure were left pulmonary artery narrowing (all <20 mmHg) in 14, arrhythmia in 2, and death in 1.CONCLUSION:
Evolution of devices, cumulative experience, and health insurance covering the cost of devices have contributed to good outcomes in our center for percutaneous occlusion of PDA. Our results have improved over the years, particularly with the use of the Amplatzer duct occluder.Key words
Full text:
1
Index:
WPRIM
Main subject:
Arrhythmias, Cardiac
/
Pulmonary Artery
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Body Weight
/
Retrospective Studies
/
Follow-Up Studies
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Ductus Arteriosus, Patent
/
Insurance, Health
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
Korean Circulation Journal
Year:
2010
Type:
Article