Transcatheter Closure of Patent Ductus Arteriosus: The Penang Hospital’s Experience
- Author:
A R Amir Hamzah
;
C A Tiow
;
G T Koh
;
Sharifah AI Mokhtar
- Publication Type:Journal Article
- Keywords:
Patent ductus arteriousus, Amplatzer duct occluder, Gianturco coil
- From:
The Medical Journal of Malaysia
2011;66(1):19-21
- CountryMalaysia
- Language:English
-
Abstract:
Transcatheter closure of small and moderate sizes of Patent
Ductus Arteriosus (PDA) is a standard and well accepted
form of treatment. The aim of this study is to describe the
experience of transcatheter closure of PDA in Penang
Hospital. All patients who underwent transcatheter closure
of PDA at our institution between 20th January 2006 and
27th June 2008 were retrospectively identified and studied.
There were a total of 66 patients who had undergone
transcatheter closure of PDA during this period which
comprised of 24 male and 42 female. The PDA was closed by
Amplatzer Duct Occluder (ADO) in 31 patients, Gianturco coil in 29 patients and other types of devices in 6 patients. There were 4 patients (6%) who had developed acute complication during the procedure (3 of them developed coil embolization and 1 had bleeding from puncture site). The PDA was successfully close in 95.5% of the study population without any residual PDA shunting. All the patients were alive but 5 of them (4.5%) have some abnormalities (2 has mild left pulmonary stenosis, 3 has small residual).
Comparison between ADO and Gianturco coil revealed no
significant difference in the outcome. Transcatheter closure of PDA has proven to be safe and effective with good midterm outcome. There was no significant difference between Amplatzer Ductal Occluder and Gianturco coil in term of the
outcome.
