Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-17T19:54:01.356Z Has data issue: false hasContentIssue false
  • English
  • Français

Percutaneous closure of a large patent ductus arteriosus in a preterm newborn weighing 1400 g without using arterial sheath: an innovative technique

Part of: Interventional Cardiology

Published online by Cambridge University Press:  13 December 2017

Gaurav Garg ,
Vishal Garg  and
Amit Prakash
Gaurav Garg*
Affiliation:
Department of Pediatric Cardiology, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India
Vishal Garg
Affiliation:
Department of Cardiac Anesthesia, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India
Amit Prakash
Affiliation:
Department of Cardiac Anesthesia, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India
*
Correspondence to: G. Garg, Department of Pediatric Cardiology, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India. Tel: +91 83744 43317; Fax: +91 11 49782233; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Percutaneous closure of patent ductus arteriosus is well established in infants weighing >5 kg, but data regarding outcome of preterm especially very low birth weight infants is minimal. Although surgical ligation of patent ductus arteriosus is the preferred and well-accepted modality of treatment after failure of drug therapy in preterm infants, it has also got its own demerits in such a small and fragile subset. Device closure in infants weighing <1.5 kg is rarely attempted because of high chances of complications, especially acute arterial injury due to the arterial sheath. We received a 1.4-kg ventilator-dependent infant for closure of large patent ductus arteriosus. Percutaneous closure of patent ductus arteriosus was done successfully and the infant was discharged on room air with a weight of 1.8 kg. We present here an innovative technique in which successful patent ductus arteriosus device closure was done in a 1.4-kg infant without using arterial sheath.

Keywords

PDA device closurepretermwithout arterial sheath
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 3 , March 2018 , pp. 494 - 497
Check for updates
Copyright
© Cambridge University Press 2017 

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. Sellmer, A, Bjerre, JV, Schmidt, MR, et al. Morbidity and mortality in preterm neonates with patent ductus arteriosus on day 3. Arch Dis Child Fetal Neonatal Ed 2013; 98: F505–F510.Google Scholar
2. Hamrick, SE, Hansmann, G. Patent ductus arteriosus of the preterm infant. Pediatrics 2010; 125: 1020–1030.Google Scholar
3. Backes, CH, Cheatham, SL, Deyo, GM, et al. Percutaneous patent ductus arteriosus (PDA) closure in very preterm infants: feasibility and complications. J Am Heart Assoc 2016; 5: e002923.CrossRefGoogle ScholarPubMed
4. Raval, MV, Laughon, MM, Bose, CL. Patent ductus arteriosus ligation in premature infants: who really benefits, and at what cost? J Pediatr Surg 2007; 42: 69–75.CrossRefGoogle ScholarPubMed
5. Hammerman, C, Bin-Nun, A, Kaplan, M. Managing the patent ductus arteriosus in the premature neonate: a new look at what we thought we knew. Semin Perinatol 2012; 36: 130–138.Google Scholar
6. Hsiao, C-C, Wung, J-T, Tsao, L-Y, Chang, W-C. Early or late surgical ligation of medical refractory patent ductus arteriosus in premature infants. J Formos Med Assoc 2009; 108: 72–77.Google Scholar
7. Dimas, VV, Takao, C, Ing, FF, et al. Outcomes of transcatheter occlusion of patent ductus arteriosus in infants weighing ≤6 kg. JACC Cardiovasc Interv 2010; 3: 1295–1299.CrossRefGoogle ScholarPubMed
8. Zahn, EM, Nevin, P, Simmons, C, Garg, R. A novel technique for transcatheter patent ductus arteriosus closure in extremely preterm infants using commercially available technology. Catheter Cardiovasc Interv 2015; 85: 240–248.CrossRefGoogle ScholarPubMed