Safety and efficacy of percutaneous patent ductus arteriosus closure solely under thoracic echocardiography guidance.
- Author:
Xiangbin PAN
1
;
Wenbin OUYANG
1
;
Shoujun LI
1
;
Gaili GUO
1
;
Yao LIU
1
;
Dawei ZHANG
1
;
Fengwen ZHANG
1
;
Kunjing PANG
1
;
Nengxin FANG
1
;
Shengshou HU
2
Author Information
- Publication Type:Journal Article
- MeSH: Body Weight; Child; Child, Preschool; Ductus Arteriosus, Patent; surgery; Echocardiography; Hospitalization; Humans; Postoperative Period; Prostheses and Implants; Treatment Outcome; Ultrasonography, Interventional
- From: Chinese Journal of Cardiology 2015;43(1):31-33
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo avoid the radiation injuries and use of contrast agent, we assessed the safety and efficacy of percutaneous patent ductus arteriosus closure solely under thoracic echocardiography guidance.
METHODSFrom June 2013 to June 2014, thirty patients (mean age: (6.3 ± 2.5) years, mean body weight:(22.5 ± 7.3) kg) with pure patent ductus arteriosus were continuously included in this study. The mean diameter of patent ductus arteriosus was (3.8 ± 0.9) mm. Patients were all treated by percutaneous patent ductus arteriosus closure via right femoral artery solely under thoracic echocardiography guidance. The efficacy of the procedure was evaluated by thoracic echocardiography. Follow-up was performed at one month after procedure.
RESULTSAll 30 cases were successfully treated with percutaneous patent ductus arteriosus closure solely under thracic echocardiography guidance. The procedural time was (32.8 ± 5.7) minutes. The mean diameter of Amplatzer ADO II was (4.9 ± 1.0) mm. Postoperative trivial residual shunt occurred in six patients immediately after the procedure. All patients survived without peripheral vascular injury or complications such as cardiac perforation. Hospitalization time was (3.4 ± 0.7) days. At one-month follow-up, no complications such as residual shunt or pericardial effusion were observed.
CONCLUSIONEchocardiography guided percutaneous patent ductus arteriosus closure by femoral artery approach is safe and effective, and can avoid X-ray and the use of contrast agents.