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

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Author(s): Hasan Kaya | Faruk Ertaş | Nihat Polat | Abdulkadir Yıldız | Mehmet Ata Akıl | M. Serdar Soydinç | Sait Alan | M. Sıddık Ülgen

Journal: Dicle Medical Journal
ISSN 1300-2945

Volume: 40;
Issue: 2;
Start page: 258;
Date: 2013;
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Keywords: patent ductus arteriosus | percutaneous closure | Amplatzer duct occluder

ABSTRACT
Objective: We sought to evaluate our clinical experienceand short-term results of percutaneous closure of patentductus arteriosus (PDA).Methods: We studied 20 patients (17 female, mean age24±8 years) undergoing percutaneous closure of PDA betweenMarch 2010-March 2013 in our clinic. Amplatzerduct occluder (ADO) I was used in 13 patients and ADOII was used in 7 patients for PDA closure. Clinical characteristicsof patients, properties of percutaneous closureintervention, complications and short-term results areevaluated.Results: The mean ductus waist diameter measured byangiographic examination was 5±2 mm (2-9 mm). Procedurewas successfully performed in all patients. Occluderdevice embolization was occurred in one patientin whom device was retrieved by snare catheter and PDAwas successfully closed with same device. The early totalocclusion rate was 85%. Occlusion rate as determinedby echocardiographic control performed the day afterwas 95% whereas 100% at first month. In the follow-up of19±9 months, no complications were observed.Conclusion: Percutaneous closure of PDA using ADO Iand II devices are safe and effective.Key words: patent ductus arteriosus, percutaneous closure,Amplatzer duct occluder

Tango Jona
Tangokurs Rapperswil-Jona

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