Lungile Pepeta1, Adele Greyling2, Mahlubandile Fintan Nxele2, Zongezile Makrexeni3, Samkelo Jiyana2. 1. Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth, South Africa. Email: Lungile.Pepeta@mandela.ac.za. 2. Division of Paediatric Cardiology, Department of Paediatrics and Child Health, Dora Nginza Hospital, Faculty of Health Sciences, Nelson Mandela University, Port Elizabeth, South Africa. 3. Division of Paediatric Cardiology, Department of Paediatrics and Child Health, Nelson Mandela Academic Hospital, Mthatha, South Africa.
Abstract
BACKGROUND: This is a report on percutaneous closure of patent ductus arteriosus (PDA) using Amplatzer Duct Occluder type two additional sizes (ADO II AS) in patients under 6 kg. METHODS: Prospective data were collected and a review of Patients' records was conducted. Demographics, and angiographic and clinical outcomes are reported in this article. RESULTS: During the period June 2011 to June 2017, of the 92 patients who underwent closure of the PDA using the ADO II AS device, 59 were under 6 kg. The median weight of the cohort at closure was 3.6 kg (range: 900 g - 5.8 kg). The median ductal diameter was 1.9 mm (range: 1.0-3.4 mm). Three embolisations in the cohort were all retrieved percutaneously. Two PDAs were closed percutaneously and one surgically. Four premature infants required blood transfusions. The closure rate was 96.6% before discharge. CONCLUSIONS: PDA closure using ADO II AS in small infants is feasible, effective and has few complications.
BACKGROUND: This is a report on percutaneous closure of patent ductus arteriosus (PDA) using Amplatzer Duct Occluder type two additional sizes (ADO II AS) in patients under 6 kg. METHODS: Prospective data were collected and a review of Patients' records was conducted. Demographics, and angiographic and clinical outcomes are reported in this article. RESULTS: During the period June 2011 to June 2017, of the 92 patients who underwent closure of the PDA using the ADO II AS device, 59 were under 6 kg. The median weight of the cohort at closure was 3.6 kg (range: 900 g - 5.8 kg). The median ductal diameter was 1.9 mm (range: 1.0-3.4 mm). Three embolisations in the cohort were all retrieved percutaneously. Two PDAs were closed percutaneously and one surgically. Four premature infants required blood transfusions. The closure rate was 96.6% before discharge. CONCLUSIONS: PDA closure using ADO II AS in small infants is feasible, effective and has few complications.
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