| Autor: |
El-Emam, Meawad A., khattab, Ahmed Anwar, El-Nahas, Mohammed Ahmed, Zayat, Rania Salah El |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2021, Vol. 12 Issue 6, p206-213, 8p |
| Abstrakt: |
Patent ductus arteriosus (PDA) is one of the more common congenital heart defects. Transcatheter closure of PDA is a common intervention worldwide. Aim: Evaluation of the frequency of different shapes of PDA among Egyptian children and proper choice of suitable device for each shape that is available in Egyptian market used for percutaneous trans-catheter closure (TCC). Trans-thoracic echocardiographic (TTE) follow up of acute and short-term outcome after PDA closure to assess safety and efficacy of closure. Methods: One hundred and seventy patients having PDA were included in observational prospective study during the period from July 2018 to February 2021 for TCC in our cardiac catheterization laboratory at National Heart Institute. Twenty-four hour, One-week and three-month follow up was done to assess occurrence of any immediate complications and echocardiographic evaluation of efficacy and safety of TCC. Results: The most common ductal type was type A (conical) was reported in 157 patients (92.3%) according to the Krichenko classification. Thirty-Eight patients (22.3%) had severe reversible pulmonary hypertension. Amplatzer Ductal Occluder (ADO-I) is the most common used device in 136 patients (80%). another eight different devices were used for PDA closure. Complete closure of PDA without residual flow in 99.41 % at three month follow up by TTE. Six patients (3.5%) had immediate complications. Left ventricular dimensions significantly decreased and fractional shortening (FS) significantly increased after one week and three month follow up (p<0.001). Conclusion: Transcatheter closure (TCC) is safe and effective using devices with different types and sizes. TCC is also effective in closure of reversible hypertensive PDA at pediatric age and is feasible treatment in children and infants who are six months old or more and weighs 5 kg or more. The left ventricular dimensions and function improved significantly in echocardiographic short-term follow up after ductus closure. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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