Indian heart journal · 2013
Transcatheter device closure of patent ductus arteriosus without arterial access--single institution experience.
Оценочное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Garg Gaurav, Srivastava Anurakti, Tyagi Himanshu, Reddy Sridhar P, Radha Anil Sivadasan
Аннотация
OBJECTIVE: Retrospective analysis of feasibility, safety and advantages of device closure of patent ductus arteriosus (PDA) using only venous access.
BACKGROUND: Arterial access for transcatheter device closure of PDA has been a standard practice, but has inherent complications, especially in infants.
METHOD: Records of patients who underwent PDA device closure from 2004 to 2012 were reviewed. Echocardiography was used for patient selection and for assessment of procedural outcome.
RESULT: 151 out of 179 patients underwent PDA device closure with venous access alone, weighing 2.2-58 kg with half <10 kg and follow up of 6 months-8 years. Fluoroscopic time ranged from 2.2 to 16 min. Immediate closure was achieved in 146 patients. Two patients had new-onset left pulmonary artery turbulence and one had residual flow.
CONCLUSION: PDA device closure without arterial access can be accomplished safely and effectively in vast majority of patients including infants.
BACKGROUND: Arterial access for transcatheter device closure of PDA has been a standard practice, but has inherent complications, especially in infants.
METHOD: Records of patients who underwent PDA device closure from 2004 to 2012 were reviewed. Echocardiography was used for patient selection and for assessment of procedural outcome.
RESULT: 151 out of 179 patients underwent PDA device closure with venous access alone, weighing 2.2-58 kg with half <10 kg and follow up of 6 months-8 years. Fluoroscopic time ranged from 2.2 to 16 min. Immediate closure was achieved in 146 patients. Two patients had new-onset left pulmonary artery turbulence and one had residual flow.
CONCLUSION: PDA device closure without arterial access can be accomplished safely and effectively in vast majority of patients including infants.
Предметные рубрики MeSH
AdolescentAdultAngiographyArteriesBalloon OcclusionCardiac CatheterizationChildChild, PreschoolCohort StudiesDuctus Arteriosus, PatentEchocardiography, Doppler, ColorFeasibility StudiesFemaleFollow-Up StudiesHumansIndiaInfantMalePatient SelectionRetrospective StudiesRisk AssessmentSeptal Occluder DeviceTime FactorsTreatment Outcome