Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-25T12:32:49.016Z Has data issue: false hasContentIssue false
  • English
  • Français

Trans-catheter closure of large PDA in adult patients with Amplatzer device: case series

Part of: Interventional Cardiology

Published online by Cambridge University Press:  08 July 2021

Zahra Khajali ,
Ata Firouzi ,
Homa Ghaderian Open the ORCID record for Homa Ghaderian [Opens in a new window]  and
Maryam Aliramezany Open the ORCID record for Maryam Aliramezany [Opens in a new window]
Zahra Khajali
Affiliation:
Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
Ata Firouzi
Affiliation:
Rajaie Cardiovascular Medical and Research Center, Tehran, Iran
Homa Ghaderian
Affiliation:
Tehran Heart Research Center, Tehran University of Medical Sciences, Tehran, Iran
Maryam Aliramezany*
Affiliation:
Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran
*
Author for correspondence: Maryam Aliramezany, Cardiovascular Research Center, Institute of Basic and Clinical Physiology Sciences, Kerman University of Medical Sciences, Kerman, Iran. Tel: +983433224848; Fax: +983431325221. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Ductus arteriosus is a physiological structure if not closed after birth, may lead to many complications. Today, trans-catheter closure of patent ductus arteriosus with Occluder devices is the preferred method. Surgical ligation is used only in certain cases such as large symptomatic patent ductus arteriosus in very small infants and premature babies; unfavourable structure of the duct or economic considerations. In this article, we described haemodynamic and morphological characteristics of five patients with large patent ductus arteriosus which were occluded with Amplatzer device.

From 23 January, 2010 to 31 July, 2018, five patients referred to our clinic with large patent ductus arteriosus and pulmonary arterial hypertension for further evaluation. After assessing them with various diagnostic methods, we decided to close defect with ventricular septal defect Occluder device. Patients aged 21–44 years and one of them was male. Ductus closure was successfully done with ventricular septal defect Occluder device. Closure was successful for all of them but in one case, whose device was embolized to pulmonary artery after 24 hr and he underwent surgery.

Trans-catheter closure of large patent ductus arteriosus in adult patients with pulmonary hypertension is feasible. Despite the fact that complications may occur even with the most experienced hands, the ‘double disk’ Amplatzer ventricular septal defect muscular Occluder could be advantageous in this setting.

Keywords

patent ductus arteriosuscongenital heart diseasetrans-catheter
Type
Brief Report
Information
Cardiology in the Young , Volume 32 , Issue 1 , January 2022 , pp. 161 - 164
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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

Fernando, R, Koranne, K, Loyalka, P, Kar, B, Gregoric, I. Patent ductus arteriosus closure using an Amplatzer™ ventricular septal defect closure device. Exp Clin Cardiol 2013; 18: e50.Google ScholarPubMed
Brickner, ME, Hillis, LD, Lange, RA. Congenital heart disease in adults. N Engl J Med 2000; 342: 334–342.CrossRefGoogle ScholarPubMed
Meadows, J, Landzberg, MJ. Advances in transcatheter interventions in adults with congenital heart disease. Prog Cardiovasc Dis 2011; 53: 265–273.CrossRefGoogle ScholarPubMed
Schneider, DJ, Moore, JW. Patent ductus arteriosus. Circulation 2006; 114: 1873–1882.CrossRefGoogle ScholarPubMed
Arlettaz, R. Echocardiographic evaluation of patent ductus arteriosus in preterm infants. Frontiers in pediatrics 2017; 5: 147.CrossRefGoogle ScholarPubMed
Morgan-Hughes, GJ, Marshall, AJ, Roobottom, C. Morphologic assessment of patent ductus arteriosus in adults using retrospectively ECG-gated multidetector CT. Am J Roentgenol 2003; 181: 749–754.CrossRefGoogle ScholarPubMed
Goitein, O, Fuhrman, CR, Lacomis, JM. Incidental finding on MDCT of patent ductus arteriosus: use of CT and MRI to assess clinical importance. Am J Roentgenol 2005; 184: 1924–1931.CrossRefGoogle ScholarPubMed
Cassidy, HD, Cassidy, LA, Blackshear, JL. Incidental discovery of a patent ductus arteriosus in adults. J Am Board Fam Med 2009; 22: 214–218.CrossRefGoogle ScholarPubMed
Kalavrouziotis, GE, Kourtesis, AN, Paphitis, C, Azariades, P. Closure of a large patent ductus arteriosus in children and adults with pulmonary hypertension. Hellenic J Cardiol 2010; 51: 15–18.Google ScholarPubMed
Dries, P, Luc, M, Geert, H, Bert, S, De Wolf, D. Persistent ductus arteriosus in the adult: clinical features and experience with percutaneous closure. Acta Cardiologica 2002; 57: 275–278.Google Scholar
García-Montes, JA, Camacho-Castro, A, Sandoval-Jones, JP, et al. Closure of large patent ductus arteriosus using the Amplatzer Septal Occluder. Cardiol Young 2015; 25: 491.CrossRefGoogle ScholarPubMed
Porstmann, W, Wierny, L, Warnke, H. The closure of the patent ductus arteriosus without thoractomy.(preliminary report). Thoraxchirurgie, vask Chir 1967; 15: 199–203.Google Scholar
Krichenko, A, Benson, LN, Burrows, P, Möes, CA, McLaughlin, P, Freedom, RM. Angiographic classification of the isolated, persistently patent ductus arteriosus and implications for percutaneous catheter occlusion. Am J Cardiol 1989; 63: 877–880.CrossRefGoogle ScholarPubMed
Rao, PS. Percutaneous closure of patent ductus arteriosus—current status. J Invasive Cardiol 2011; 23: 517.Google ScholarPubMed
Thanopoulos, B, Eleftherakis, N, Tzannos, K, Stefanadis, C. Transcatheter closure of the patent ductus arteriosus using the new Amplatzer duct occluder: initial clinical applications in children. Am Heart J 2008; 156: 917–e1.CrossRefGoogle ScholarPubMed
Dua, J, Chessa, M, Piazza, L, et al. Initial experience with the new Amplatzer® Duct Occluder II. J Invasive Cardiol 2009; 21: 401–405.Google Scholar