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Implantation of the new Nit-Occlud PDA-R device in children below 10 kilogram
- Source :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 85(7)
- Publication Year :
- 2014
-
Abstract
- Interventional closure of patent ductus arteriosus (PDA) has become a common and safe procedure in most pediatric cath labs. Interventional treatment of PDAs still remains a challenge in those children with low body weight and a large PDA. The Nit-Occlud PDA-R® device was developed and especially designed for large PDAs. We report our most recent experience in children with a body weight lower than 10 kg.The PDA-R® device was used in seven children (age 1-10, median 6 months) with a body weight from 4.1 to 9.7 kg (median 5.9 kg): ductal length was 12 mm (median), with a large ampulla (median 9 mm) which exceeded the diameter of the aorta (median 6 mm) and large diameter (median minimal diameter 4 mm). In six cases, the Nit-Occlud PDA-R was selected with an aortic disc of 12 mm and in one case an occluder with an aortic disc of 14 mm.Occlusion of the PDA was documented by angiography and/or echocardiography in all cases. At a mean follow-up of 21.4 months, no flow obstruction to the left or right pulmonary artery or new onset coarctation of the aorta was noted.The Nit-Occlud PDA-R® device is suitable in children with a body weight below 10 kg when a relative large PDA is present.
- Subjects :
- Male
Cardiac Catheterization
Pulmonary Circulation
Septal Occluder Device
Patient Selection
Body Weight
Age Factors
Hemodynamics
Infant
Coronary Angiography
Prosthesis Design
Echocardiography, Doppler, Color
Treatment Outcome
Risk Factors
Coronary Circulation
Humans
Female
Ductus Arteriosus, Patent
Retrospective Studies
Subjects
Details
- ISSN :
- 1522726X
- Volume :
- 85
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions
- Accession number :
- edsair.pmid..........cd19dc82b103ef4449931099f36e254b