Transcatheter Closure of Patent Ductus Arteriosus: 11 Years of Clinical Experience in Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Autor: Sukman Tulus Putra, Dimas Dwi Saputro, Mulyadi M. Djer, Nikmah Salamia Idris
Rok vydání: 2015
Předmět:
Male
Cardiac Catheterization
congenital
hereditary
and neonatal diseases and abnormalities
medicine.medical_specialty
Time Factors
Adolescent
Septal Occluder Device
Anemia
medicine.medical_treatment
education
Patent ductus arteriosus
Coil
Ductus arteriosus
medicine
Humans
Transcatheter closure
Pediatrics
Perinatology
and Child Health
Child
Ductus Arteriosus
Patent
Retrospective Studies
Cardiac catheterization
business.industry
Standard treatment
Age Factors
Infant
Newborn
Infant
Retrospective cohort study
Vascular surgery
medicine.disease
Hospitals
Surgery
Cardiac surgery
Treatment Outcome
medicine.anatomical_structure
Indonesia
Child
Preschool
Pediatrics
Perinatology and Child Health
Female
Original Article
Median body
Amplatzer duct occluder
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Zdroj: Pediatric Cardiology
ISSN: 1432-1971
0172-0643
Popis: Transcatheter closure of patent ductus arteriosus (PDA) has been suggested to be the standard treatment of PDA. Although, in general, the procedure shows a high successful rate, outcomes may vary among pediatric cardiology centers. To evaluate the effectiveness of transcatheter closure of PDA in Cipto Mangunkusumo Hospital, Jakarta, Indonesia, this was a retrospective study on patients who underwent transcatheter closure of PDA in Cipto Mangunkusumo Hospital during the period of 2002–2013. Hospital registry was reviewed and data about patients’ characteristics, PDA severity, procedure, and outcomes were retrieved. There were 298 patients, of whom 90 were males, who underwent transcatheter closure of PDA during the study period. Median age was 3.4 years (1 months–18 years), and median body weight was 12 (3.6–59) kg. The diameter of PDA ranged from 1.1 to 15.4 mm with a median of 3.7 mm. Device could be deployed in all patients, in which most were the Amplatzer ductal occluder (69.8 %) and the remainders were coils. Median fluoroscopy time was 15.4 (1.5–87) min, and procedure time was 76 (30–200) min. Complete closure was achieved in most patients (97.3 %), whereas device migration occurred in a minority (0.3 %) of patients. No major complication occurred during or after the procedure. Transient anemia and bradycardia were found in 3.7 and 1.3 % patients, respectively. Most patients were discharged from the hospital at 1 day after the procedure. Transcatheter closure method is a safe and effective procedure to close PDA.
Databáze: OpenAIRE
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