Reyhan Dedeoglu1, Meki Bilici2, Fikri Demir2, Fadli Demir3, Onur Çağlar Acar4, Olgu Hallioglu5, Ayşenur Pac6, Alev Kiziltas7, Duran Karabel8, Serdar Kula9, Derya Cimen10, Osman Baspinar11, Sezen Ugan Atik1, Irfan Levent Saltik1. 1. Cerrahpasa Medical Faculty, Department of Pediatric Cardiology, İstanbul University, Istanbul, Turkey. 2. Medical Faculty, Department of Pediatric Cardiology, Dicle University, Diyarbakır, Turkey. 3. Medical Faculty, Department of Pediatric Cardiology, Çukurova University, Adana, Turkey. 4. Derince Training and Research Hospital, Kocaeli, Turkey. 5. Medical Faculty, Department of Pediatric Cardiology, Mersin University, Mersin, Turkey. 6. Ankara Yüksek İhtisas Training and Research Hospital, Ankara, Turkey. 7. Medical Faculty, Department of Pediatric Cardiology, Başkent University, Adana, Turkey. 8. Medical Faculty, Department of Pediatric Cardiology, Osman Gazi University, Eskisehir, Turkey. 9. Medical Faculty, Department of Pediatric Cardiology, Gazi University, Ankara, Turkey. 10. Medical Faculty, Department of Pediatric Cardiology, Selçuk University, Konya, Turkey. 11. Medical Faculty, Department of Pediatric Cardiology, Gaziantep University, Gaziantep, Turkey.
Abstract
AIM: Over the past 2 decades, transcatheter occlusion of patent ductus arteriosus (PDA) with coils and the duct occluders evolved to be the procedure of choice. A new device, the Occlutech PDA® occluder (ODO) device has been designed. Herein, we aimed to evaluate the characteristics and short-term results of patients who underwent transcatheter closure of PDA using the ODO. METHODS: We reviewed the clinical records of 60 patients from different centers in Turkey between December 2013 and January 2016. The medical records were reviewed for demographic characteristics and echocardiographic findings. Device size was selected on the narrowest diameter of PDA. RESULTS: The median patient age was 2.5 years (6 months-35 years), and median PDA diameter was 2.5 mm (1.2-11 mm). Fifty-eight of 60 patients (96.6%) had successful ODO implantation. The occlusion rates were 37/58 (63.7%) at the end of the procedure, 51/58 (87.9%) at 24-48 hours post-procedure, and 57/58 (98.2%) on echocardiography at a median follow-up of 7.6 months. CONCLUSION: Our results indicate that transcatheter closure of PDA using the ODO is effective. Larger studies and longer follow-up are required to assess whether its shape and longer length make it superior to other duct occluders in large, tubular, or window-type ducts. (J Interven Cardiol 2016;29:325-331).
AIM: Over the past 2 decades, transcatheter occlusion of patent ductus arteriosus (PDA) with coils and the duct occluders evolved to be the procedure of choice. A new device, the Occlutech PDA® occluder (ODO) device has been designed. Herein, we aimed to evaluate the characteristics and short-term results of patients who underwent transcatheter closure of PDA using the ODO. METHODS: We reviewed the clinical records of 60 patients from different centers in Turkey between December 2013 and January 2016. The medical records were reviewed for demographic characteristics and echocardiographic findings. Device size was selected on the narrowest diameter of PDA. RESULTS: The median patient age was 2.5 years (6 months-35 years), and median PDA diameter was 2.5 mm (1.2-11 mm). Fifty-eight of 60 patients (96.6%) had successful ODO implantation. The occlusion rates were 37/58 (63.7%) at the end of the procedure, 51/58 (87.9%) at 24-48 hours post-procedure, and 57/58 (98.2%) on echocardiography at a median follow-up of 7.6 months. CONCLUSION: Our results indicate that transcatheter closure of PDA using the ODO is effective. Larger studies and longer follow-up are required to assess whether its shape and longer length make it superior to other duct occluders in large, tubular, or window-type ducts. (J Interven Cardiol 2016;29:325-331).
Authors: Andrii V Maksymenko; Yulia L Kuzmenko; Arkadii A Dovhaliuk; Oleksandra O Motrechko; Florian E Herrmann; Nikolaus A Haas; Anja Lehner Journal: Ann Pediatr Cardiol Date: 2019 Sep-Dec