Using Interventional Approach in Teatment of Children with Patent Ductus Arteriosus in Shahid Chamran Hospital in Isfahan
Message:
Abstract:
Background And Objective
Patent ductus artriosus (PDA) accounts for 8-10% of congenital heart diseases. Patency of this ductus after birth can induce heart failure or endartritis. For these reasons closing of this duct is suggested by surgical or interventional approaches. The purpose of this study was to evaluate the rate of success of closing PDA by interventional approach in Shahid Chamran hospital in Isfahan University of Medical Science.
Subjects and
Methods
Thirty nine patients (18 male and 21 female) and their PDA was diagnosed by echocardiography were the subjects of this study.
Results
Mean weight of patients was 10.82±6.43 Kg. Mean age of patients was 14.3±11.8 months. In 15 patients coil and in 24 patients Amplatzer used for closing of PDA. In 10 patients Cook coil and in 5 patients Pfm coil were used. Mean size of PDA in narrowest size at the pulmonary artery was 3.2±1.7 mm. The mean time of angiography was 45.3±12.2 min and for fluoroscopy was 8.5±6.3 min. No acute complications such as death, severe bleeding, vessels rupture or arrhythmia were encountered. In addition, no late complications such as stenosis in aorta or pulmonary arteries, migration of devices, fracture or deformity of devices or residual shunt were found.
Conclusion
Our experience in this center showed that interventional approaches for closing of PDA are safe.
Language:
Persian
Published:
Jundishapur Scientific Medical Journal, Volume:15 Issue: 5, 2017
Page:
531
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