1. Are the AMPLATZER Duct Occluder II Additional Sizes devices dedicated only for smaller children?
- Author
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Ireneusz Haponiuk, Małgorzata Szkutnik, Beata Chodór, Maciej Chojnicki, Jacek Białkowski, and Roland Fiszer
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Septal Occluder Device ,030204 cardiovascular system & hematology ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,medicine.artery ,Ductus arteriosus ,medicine ,Humans ,030212 general & internal medicine ,Cardiac Surgical Procedures ,Child ,Ductus Arteriosus, Patent ,Retrospective Studies ,Aorta ,medicine.diagnostic_test ,business.industry ,Endovascular Procedures ,Infant ,Retrospective cohort study ,Surgery ,medicine.anatomical_structure ,Child, Preschool ,Pulmonary artery ,Angiography ,Female ,Implant ,Cardiology and Cardiovascular Medicine ,business ,Duct (anatomy) - Abstract
Aims The aim of this study was to present our experience with the AMPLATZER Duct Occluder II Additional Sizes (ADOIIAS) for the closure of different types of patent ductus arteriosus (PDA) in patients of various age groups. Methods and results A group of 103 patients, in whom the PDA (diameter below 3.5 mm) was closed using the ADOIIAS, was analysed. The median age of treated patients was 3.0 years (from 0.1 to 24 years), and 55 patients (53.4%) were older than three years. Ductal anatomy defined by angiography showed type A in 42 patients (40.8%), type C in six patients (5.8%), type D in 21 patients (20.5%), and type E in 34 patients (33.0%). In two cases, embolisation of the device occurred shortly after implantation. Both occluders were retrieved percutaneously. One death occurred in a neonate four days after ADOIIAS implantation (not related to the procedure: multi-organ failure). Total occlusion of PDA was confirmed in all patients the day after the procedure. No protrusion of the device into the aorta or pulmonary artery was observed in any patient during follow-up. Conclusions The use of the ADOIIAS is a good therapeutic option for the treatment of selected PDA. The implant may be successfully substituted for coil implantation in all age groups.
- Published
- 2017
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