Percutaneous closure of patent ductus arteriosus: Experience of a tertiary referral center

Öz

Objective: We sought to evaluate our clinical experience and short-term results of percutaneous closure of patent ductus arteriosus (PDA). Methods: We studied 20 patients (17 female, mean age 24±8 years) undergoing percutaneous closure of PDA between March 2010-March 2013 in our clinic. Amplatzer duct occluder (ADO) I was used in 13 patients and ADO II was used in 7 patients for PDA closure. Clinical characteristics of patients, properties of percutaneous closure intervention, complications and short-term results are evaluated. Results: The mean ductus waist diameter measured by angiographic examination was 5±2 mm (2-9 mm). Procedure was successfully performed in all patients. Occluder device embolization was occurred in one patient in whom device was retrieved by snare catheter and PDA was successfully closed with same device. The early total occlusion rate was 85%. Occlusion rate as determined by echocardiographic control performed the day after was 95% whereas 100% at first month. In the follow-up of 19±9 months, no complications were observed. Conclusion: Percutaneous closure of PDA using ADO I and II devices are safe and effective.

Anahtar Kelimeler

• patent ductus arteriosus, percutaneous closure, Amplatzer duct occluder

Patent duktus arteriozusun perkütan yolla kapatılması: Üçüncü basamak bir merkezin deneyimi

Öz

Amaç: Bu çalışmada erişkinlerde patent ductus arteriosusların (PDA) perkütan yolla kapatılması işlemindeki klinik deneyimlerimiz ve erken dönem sonuçlarımızı değerlendirmeyi amaçladık. Yöntemler: Kliniğimizde Mart 2010-Mart 2013 tarihleri arasında PDA tanısı ile perkütan kapatma işlemi uygulanan 20 hasta (ortalama yaşı 24±8 yıl, 17 kadın) çalışmaya dahil edildi. PDA kapatma işleminde 13 hastada Amplatzer duct ocluder (ADO) I cihazı, 7 hastada ise ADO II cihazı kullanıldı. Hastaların klinik özellikleri, yapılan perkütan kapatma girişimlerinin özellikleri, gelişen komplikasyonlar ve erken dönem sonuçları değerlendirildi. Bulgular: Anjiografik ölüçümde duktus en dar yeri ortalaması 5±2 mm (2-9 mm) ölçüldü. İşlem tüm hastalarda başarılı sonuçlandı. Yalnızca bir hastada ADO I cihazı bırakıldıktan hemen sonra embolize oldu. Embolize olan cihaz yakalayıcı kateter kullanılarak başarılı bir şekilde geri alındı ve aynı cihaz ile başarılı bir şekilde PDA kapatıldı. İşlem sonrası erken kapanma oranı %85, birinci gün ekokardiyografi kontrolünde tam kapanma oranı %95, 1. ay kontrolde kapanma oranı %100 izlendi. Ortalama 19±9 ay (2-37 ay) boyunca izlenen hastalarda herhangi bir komplikasyon izlenmedi. Sonuç: ADO I ve ADO II cihazlarıyla perkütan PDA kapatma işlemi başarılı ve güvenilir bir yöntemdir.

Anahtar Kelimeler

• Patent ductus arteriosus, perkütan kapatma, Amplatzer duct ocluder

Kaynakça

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