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Transcatheter Closure of a Residual Patent Ductus Arteriosus After Surgical Ligation in Children

  • Baspinar, Osman (Department of Pediatric Cardiology, Gaziantep University Medical Faculty) ;
  • Kilinc, Metin (Department of Pediatric Cardiology, Gaziantep University Medical Faculty) ;
  • Kervancioglu, Mehmet (Department of Pediatric Cardiology, Gaziantep University Medical Faculty) ;
  • Irdem, Ahmet (Department of Pediatric Cardiology, Gaziantep University Medical Faculty)
  • Published : 2011.11.30

Abstract

Background and Objectives: To assess the safety and efficacy of transcatheter closure of residual ductal flow after initial surgical ligation of the arterial duct. Subjects and Methods: Between June 2005 and December 2009, transcatheter occlusion of residual postsurgical ductus arteriosus was performed in six children. Results: The mean patient age was 10${\pm}$5.5 years; mean post-procedural time since the initial surgical closure was 6.3${\pm}$4.5 years. The mean diameter of the patent ductus arteriosus on angiography was 1.3${\pm}$0.5 mm (range, 0.8 to 2.4 mm). Three different types of coils were used successfully without any complications. Conclusion: Transcatheter occlusion of residual postsurgical arterial duct is a safe and successful procedure. However, attention should be paid due to the distorting shape of the arterial duct.

Keywords

References

  1. Zucker N, Qureshi SA, Baker EJ, Deverall PB, Tynan M. Residual patency of the arterial duct subsequent to surgical ligation. Cardiol Young 1993;3:216-9.
  2. Sorensen KE, Kristensen B, Hansen OK. Frequency of occurrence of residual ductal flow after surgical ligation by color-flow mapping. Am J Cardiol 1991;67:653-4. https://doi.org/10.1016/0002-9149(91)90911-4
  3. Demir T, Oztunc F, Cetin G, et al. Patency or recanalization of the arterial duct after surgical ligation and transfixion. Cardiol Young 2007; 17:48-50. https://doi.org/10.1017/S1047951106001405
  4. Podnar T, Masura J. Transcatheter occlusion of residual patent ductus arteriosus after surgical ligation. Pediatr Cardiol 1999;20:126-30. https://doi.org/10.1007/s002469900418
  5. Kusa J, Szkutnik M, Czerpak B, Bialkowski J. Percutaneous closure of previously surgical treated arterial ducts. EuroIntervention 2008; 3:584-7. https://doi.org/10.4244/EIJV3I5A105
  6. Ovaert C, McCrindle BW, Nykanen D, Freedom RM, Benson LN. Transcatheter management of residual shunts after initial transcatheter closure of a patent arterial duct. Can J Cardiol 2003;19:1493-7.
  7. Moore JW, Levi DS, Moore SD, Schneider DJ, Berdjis F. Interventional treatment of patent ductus arteriosus in 2004. Catheter Cardiovasc Interv 2005;64:91-101. https://doi.org/10.1002/ccd.20243
  8. Jones JC. Twenty-five years' experience with surgery of patent ductus arteriosus. J Thorac Cardiovasc Surg 1965;50:149-65.
  9. Lloyd TR, Beekman RH 3rd. Clinically silent patent ductus arteriosus. Am Heart J 1994;127:1664-5.

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  1. Transcatheter Closure Versus Repeat Surgery for the Treatment of Postoperative Left-to-Right Shunts: A Single Center 15-Year Experience vol.8, pp.6, 2017, https://doi.org/10.14740/cr629e
  2. Persistent Shunting 50 Years after Surgical Patent Ductus Arteriosus Ligation vol.51, pp.10, 2011, https://doi.org/10.4070/kcj.2021.0210