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ISSN 0188-2198 (Print)

2013, Number 1

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Rev Mex Cardiol 2013; 24 (1)

Percutaneous closure of patent ductus arteriosus in infants using the Amplatzer vascular plug II

Gálvez-Cancino F, Parra-Bravo JR, Beirana-Palencia L, Martínez-Monterrosas C, Osuna-Izaguirre M, Lazo-Cárdenas C

Language: Spanish
References: 24
Page: 29-34
PDF size: 290.27 Kb.


ABSTRACT

Percutaneous closure of patent ductus arteriosus (PDA) is a well established treatment modality. The Amplatzer vascular plug II (AVP II) is a self-expandable occluder device, indicated for arterial or venous occlusions in the peripheral vasculature. We describe our initial clinical experience in percutaneous closure of PDA using the AVP II in children. Device size was selected according to the size and morphology of the CAP, with a diameter greater than 100% of the minimum diameter of the CAP. The devices were implanted through a pod femoral vein or artery. In 18 patients, AVP II was used for occlusion of PDA. The median age was 24 months (range 6-51) and mean weight 10.5 kg (range 4.8-16.5). The narrowest diameter of the CAP showed a median of 1.1 mm (range 0.3-7.0). Successful implantation was achieved and angiographic occlusion in 14 patients (77.8%). The size of the implanted device showed a mean of 3.9 ± 2.4 times the minimum diameter of the CAP. Two patients were referred for surgery. There were two embolizations. Transthoracic echocardiography 24 hours confirmed total occlusion in 13 cases (72.2%). During the monitoring period there are no reported complications. Percutaneous closure of PDA ‹ 2 mm AVP II is a safe and effective, particularly for occlusion of small-diameter vessels with low flow.


REFERENCES

  1. Schneider D, Moore J. Patent ductus arteriosus. Circulation 2006; 114: 1873-1882.

  2. Krichenko A, Benson LN, Burrows P, Möes CAF, McLaughlin P, Freedom RM. Angiographic classification of the isolated, persistently patent ductus arteriosus and implications for percutaneous catheter occlusion. Am J Cardiol 1989; 63: 877-880.

  3. Ewert P. Challenges encountered during closure of patent ductus arteriosus. Pediatr Cardiol 2005; 26: 224-229.

  4. Lloyd TR, Fedderly R, Mendelshon AM, Sandhu SK, Beekman RH. Transcatheter occlusion of patent ductus arteriosus with Gianturco coils. Circulation 1993; 88: 1412-1420.

  5. Bermudez-Cañete R, Santoro G, Bialkowsky J, Herraiz I, Formigari R, Szkutnik M et al. Patent ductus arteriosus occlusion using detachable coils. Am J Cardiol 1998; 82: 1547-1549.

  6. Patel HT, Cao QL, Rhodes J, Hijazi ZM. Long-term outcome of transcatheter coil closure of small to large patent ductus arteriosus. Catheter Cardiovasc Interv 1999; 47: 457-461.

  7. Masura J, Gavora P, Podnar T. Catheter closure of moderate to large-sized patent ductus arteriosus using the new Amplatzer duct occluder: immediate and short term results. J Am Coll Cardiol 1998; 31: 878-882.

  8. Bilkis AA, Alwi M, Hasri S, Haifa AL, Geetha K, Rehman MA et al. The Amplatzer duct occluder: experience en 209 patients. J Am Coll Cardiol 2001; 37: 258-261.

  9. Masura J, Tittel P, Gavora P, Podnar T. Long-term outcome of transcatheter patent ductus arteriosus closure using Amplatzer duct occluders. Am Heart J 2006; 151: 755.e7-755.e10.

  10. Al-Ata J, Arfi AM, Hussain A, Kovatli AA, Jalal MO. The efficacy and safety of the Amplatzer duct occluder in young children and infants. Cardiol Young 2005; 15: 279-85.

  11. Holzer R, Coa Q, Shandu S, Hijazi ZM. The Amplatzer vascular plug: an addition to our interventional armamentarium. Pediatric Cardiology Today 2004; 2: 6-8.

  12. Hill SL, Hijazi ZM, Hellenbrand WE, Cheatham JP. Evaluation of the Amplatzer vascular plug for embolization of peripheral vascular malformations associated with congenital disease. Catheter Cardiovasc Interv 2006; 67: 113-119.

  13. Tuite DJ, Kessel DO, Nicholson AA, Patel JV, McPherson SJ, Shaw DR. Initial clinical experience using the Amplatzer vascular plug. Cardiovasc Intervent Radiol 2007; 30: 650-654.

  14. Hoyer MH. Novel use of the Amplatzer vascular plug for closure of a patent ductus arteriosus. Catheter Cardiovasc Interv 2005; 65: 577-580.

  15. Benton NG, Schneider D, Hokanson J. Closure of tubular patent ductus arteriosus in infants and small children with the Amplatzer vascular plug II. Congenit Heart Dis 2011; 6: 64-69.

  16. Glatz AC, Petit CJ, Guillespie M. Novel use of a modified Amplatzer vascular plug to occlude a patent ductus arteriosus in two patients. Catheter Cardiovasc Interv 2008; 72: 82-86.

  17. Fischer G, Stich J, Grabitz R, Kramer HH. Transcatheter closure of persistent ductus arteriosus in infants using the Amplatzer duct occluder. Heart 2001; 86: 444-447.

  18. Butera G, De Rosa G, Chessa M, Piazza L, Delogu A, Frgiola A et al. Transcatheter closure of persistent ductus arteriosus with the Amplatzer duct occluder in very young symptomatic children. Heart 2004; 90: 1467-1470.

  19. Duke C, Chan KC. Aortic obstruction caused by device occlusion of patent arterial duct. Heart 1999; 82: 109-111.

  20. Ewert P, Krestschmar O, Nuernberg JH, Nagdyman N, Lange PE. First closure of a large patent ductus arteriosus in an infant with an angulated nitinol plug. Catether Cardiovasc Interv 2002; 57: 88-91.

  21. Forsey J, Kenny D, Morgan G, Tometzky A, Martin R. Transcatheter closure of long tubular patent arterial ductus: the Amplatzer duct cccluder II-A new and valuable tool. Catether Cardiovasc Interv 2009; 73: 576-580.

  22. Thanopoulos B, Eleftherakis N, Tzannos K, Stefanadis C. Transcatheter closure of the patent ductus arteriosus using the new Amplatzer duct occluder: initial clinical applications in children. Am Heart J 2008; 156: 917.e1-917.e6.

  23. Javois AJ, Husayni TS, Thoele D, Van Berger AH. Inadvertent stenting of patent ductus arteriosus with Amplatzer vascular plug. Catheter Cardiovasc Interv 2006; 67: 485-489.

  24. Cheatham JP. Not so fast with that novel use: does AVP = PDA? Catheter Cardiovasc Interv 2005; 65: 581-583.




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