Echocardiography-guided percutaneous closure of patent ductus arteriosus without arterial access: Feasibility and safety for a new strategy
10.11817/j.issn.1672-7347.2018.09.011
- VernacularTitle:超声引导下股静脉路径动脉导管经皮封堵术:一种治疗新策略的可行性和安全性研究
- Author:
Weizhi ZHANG
1
;
Lei GAO
;
Wancun JIN
;
Qin WU
;
Shijun HU
;
Yifeng YANG
;
Tianli ZHAO
Author Information
1. 中南大学湘雅二医院心血管外科
- Keywords:
patent ductus arteriosus;
vascular access;
imaging modalities;
transesophageal echocardiography;
radiation protection
- From:
Journal of Central South University(Medical Sciences)
2018;43(9):1000-1006
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feasibility and safety of device closure of patent ductus arteriosus (PDA)using only venous access under echocardiography guidance alone.Methods:A total of 102 consecutive pediatric patients underwent transcatheter PDA closure without arterial access,under the guidance of only echocardiography.The patients were followed up by clinical examination,electrocardiogram,and echocardiogram at 1,3,6 12,and 24 months.Results:Transvenous PDA closure under echocardiographic guidance was successful in 99 (97.1％)patients.There were no acute procedural complications or severe adverse events.The duration ranged from 10 to 65 minutes (median,21 minutes).Immediate complete closure of PDA was achieved in 87 patients (87.9％),and 100％ of the patients were completely closed after 24 h.There were no severe adverse events in the period of 1-24 months (median,12 months) follow up.Conclusion:Transvenous PDA closure without fluoroscopy avoids radiation exposure,contrast agent usage and potential arterial complications.It can be used as an alternative procedure,especially for children.
