Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-23T03:34:49.515Z Has data issue: false hasContentIssue false

Successful retrieval of a migrated neonatal ductal stent and strategies to reposition the expanded stent in the duct

Published online by Cambridge University Press:  18 June 2018

Sreeja Pavithran
Affiliation:
Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, India
Kothandam Sivakumar*
Affiliation:
Department of Pediatric Cardiology, Institute of Cardio Vascular Diseases, Madras Medical Mission, Chennai, India
*
Author for correspondence: K. Sivakumar, MD DM, Head of Department of Pediatric Cardiology, Institute of Cardiovascular Diseases, Madras Medical Mission, 4A, Dr J J Nagar, Mogappair, Chennai 600089, India. Tel: +91 9444449966; Fax: +91 44 26565859; E-mail: [email protected]

Abstract

A neonatal ductal stent deployed in a straight short conical duct on second postnatal day migrated owing to inadequate ductal constriction. It was successfully retrieved using a larger balloon and redeployed in the duct again. Intravenous indomethacin prevented further stent migration. This is the first report of successful transcatheter retrieval and repositioning of a migrated expanded neonatal ductal stent.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Mallula, K, Vaughn, G, El-Said, H, Lamberti, JJ, Moore, JW. Comparison of ductal stenting versus surgical shunts for palliation of patients with pulmonary atresia and intact ventricular septum. Catheter Cardiovasc Interv 2015; 85: 11961202.Google Scholar
2. McMullan, DM, Permut, LC, Jones, TK, Johnston, TA, Rubio, AE. Modified Blalock-Taussig shunt versus ductal stenting for palliation of cardiac lesions with inadequate pulmonary blood flow. J Thorac Cardiovasc Surg 2014; 147: 397403.CrossRefGoogle ScholarPubMed
3. Alwi, M, Choo, KK, Latiff, HA, Kandavello, G, Samion, H, Mulyadi, MD. Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in duct-dependent pulmonary circulation. J Am Coll Cardiol 2004; 44: 438445.Google Scholar
4. Alwi, M. Stenting the ductus arteriosus: case selection, technique and possible complications. Ann Pediatr Cardiol 2008; 1: 3845.Google Scholar
5. Buys, DG, Brown, SC, Greig, C. Stenting the arterial duct: practical aspects and review of outcomes SA. Heart 2013; 10: 514519.Google Scholar
6. Matter, M, Almarsafawey, H, Hafez, M, Attia, G, Abuelkheir, MM. Patent ductus arteriosus stenting in complex congenital heart disease: Early and midterm results for a single-center experience at children hospital, Mansoura, Egypt. Pediatr Cardiol 2013; 34: 11001106.Google Scholar
7. Vida, VL, Speggiorin, S, Maschietto, N, et al. Cardiac operations after patent ductus arteriosus stenting in duct-dependent pulmonary circulation. Ann Thorac Surg 2010; 90: 605609.CrossRefGoogle ScholarPubMed
8. Gladman, G, McCrindle, BW, Williams, WG, Freedom, RM, Benson, LN. The modified Blalock-Taussig shunt: clinical impact and morbidity in Fallot’s tetralogy in the current era. J Thorac Cardiovasc Surg 1997; 114: 2530.CrossRefGoogle ScholarPubMed
9. Sivakumar, K, Bhagyavathy, A, Coelho, R, Satish, R, Krishnan, P. Longevity of neonatal ductal stenting for congenital heart diseases with duct dependent pulmonary circulation. Congenit Heart Dis 2012; 7: 526533.Google Scholar
10. Lee, KJ, Seto, W, Benson, L, Chaturvedi, RR. Pharmacokinetics of sirolimus eluting stents implanted in the neonatal arterial duct. Circ Cardiovasc Interv 2015; 8: e002233.Google Scholar