1. Transcatheter Closure of a Huge Ductus Arteriosus in a Severely Ill Neonate.
- Author
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Okada S, Muneuchi J, Nagatomo Y, Yokota C, Ohmura J, Yamamoto J, Watanabe M, Iida C, Shirouzu H, and Takahashi Y
- Subjects
- Critical Illness mortality, Critical Illness therapy, Disseminated Intravascular Coagulation complications, Ductus Arteriosus, Patent diagnosis, Hemorrhage complications, Humans, Infant, Newborn, Lung Diseases pathology, Male, Multiple Organ Failure complications, Septal Occluder Device statistics & numerical data, Severity of Illness Index, Treatment Outcome, Cardiac Catheterization instrumentation, Ductus Arteriosus, Patent complications, Ductus Arteriosus, Patent surgery, Septal Occluder Device standards
- Abstract
Hemodynamically significant patent ductus arteriosus (PDA) in preterm infants increases morbidity and mortality. Here we describe a 12-day-old neonate with a huge PDA who developed pulmonary hemorrhage following disseminated intravascular clotting and multiple organ failure. Medical treatment or surgical ligation could not be performed because of the patient's poor condition. Transcatheter closure using a commercially available device (Amplatzer Vascular Plug II) successfully treated the huge PDA without major complications. The Amplatzer Vascular Plug II approach might become a new option for PDA closure in small infants, including those who are critically ill.
- Published
- 2018
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