Using Interventional Approach in Teatment of Children with Patent Ductus Arteriosus in Shahid Chamran Hospital in Isfahan

Document Type : Original Article

Authors

1 Assistant Professor of Pediatric Cardiology

2 Associate Professor of Pediatric Cardiology,Department of Pediatric Cardiology, School of Medicine, Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

3 Medical Student. School of Medicine, Cardiovascular Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Background and Objective: Patent ductus artriosus (PDA) accounts for 8-10% of congenital heart diseases. Patency of this ductus after birth can induce heart failure or endartritis. For these reasons closing of this duct is suggested by surgical or interventional approaches. The purpose of this study was to evaluate the rate of success of closing PDA by interventional approach in Shahid Chamran hospital in Isfahan University of Medical Science. 
Subjects and Methods: Thirty nine patients (18 male and 21 female) and their PDA was diagnosed by echocardiography were the subjects of this study.
Results: Mean weight of patients was 10.82±6.43 Kg. Mean age of patients was 14.3±11.8 months. In 15 patients coil and in 24 patients Amplatzer used for closing of PDA. In 10 patients Cook coil and in 5 patients Pfm coil were used. Mean size of PDA in narrowest size at the pulmonary artery was 3.2±1.7 mm. The mean time of angiography was 45.3±12.2 min and for fluoroscopy was 8.5±6.3 min. No acute complications such as death, severe bleeding, vessels rupture or arrhythmia were encountered. In addition, no late complications such as stenosis in aorta or pulmonary arteries, migration of devices, fracture or deformity of devices or residual shunt were found.
Conclusion: Our experience in this center showed that interventional approaches for closing of PDA are safe.

Keywords

References

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Jundishapur Scientific Medical Journal
Volume 15, Issue 5 - Serial Number 104
November and December 2016
Pages 531-539

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History

  • Receive Date: 27 August 2016
  • Revise Date: 23 September 2016
  • Accept Date: 20 October 2017

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