Ductal closure in infants under 6 kg including premature infants using AmplatzerTM duct occluder type two additional sizes: a single-centre experience in South Africa

Autor:	Mahlubandile Fintan Nxele, Zongezile Masonwabe Makrexeni, Adele Greyling, Lungile Pepeta, Samkelo Jiyana
Rok vydání:	2020
Předmět:	medicine.medical_specialty Percutaneous Demographics business.industry Prospective data General Medicine Closure rate Surgery Single centre medicine.anatomical_structure Ductus arteriosus Cohort medicine In patient Cardiology and Cardiovascular Medicine business
Zdroj:	Cardiovascular Journal of Africa. 31:33-39
ISSN:	1680-0745 1995-1892
DOI:	10.5830/cvja-2019-044
Popis:	Background This is a report on percutaneous closure of patent ductus arteriosus (PDA) using Amplatzer Duct Occluder type two additional sizes (ADO II AS) in patients under 6 kg. Methods Prospective data were collected and a review of Patients' records was conducted. Demographics, and angiographic and clinical outcomes are reported in this article. Results During the period June 2011 to June 2017, of the 92 patients who underwent closure of the PDA using the ADO II AS device, 59 were under 6 kg. The median weight of the cohort at closure was 3.6 kg (range: 900 g - 5.8 kg). The median ductal diameter was 1.9 mm (range: 1.0-3.4 mm). Three embolisations in the cohort were all retrieved percutaneously. Two PDAs were closed percutaneously and one surgically. Four premature infants required blood transfusions. The closure rate was 96.6% before discharge. Conclusions PDA closure using ADO II AS in small infants is feasible, effective and has few complications.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::c440f6c693f83bb5917fd74b2def6637 https://doi.org/10.5830/cvja-2019-044 Zobrazit plný text záznamu