ECHOCARDIOGRAPHIC SHORT-TERM FOLLOW UP OF CHILDREN WITH TRANSCATHETER CLOSURE OF PATENT DUCTUS ARTERIOSUS
• 2014
معلومات البحث
المؤلفون
Mohammed A. El-Baz , Hesham A. El-Ghaiaty , Sahar A.El-Shedoudy & Ahmed R. Sanad
الكلمات المفتاحية
PDA, catheter closure, echocardiography
المجلة العلمية
Not Available
الناشر
Not Available
المجلد
Not Available
العدد
Not Available
الصفحات
Not Available
publication.type
Local
رابط البحث
Not Available
المواد المرفقة
Not Available
الملخص
Background:Patent ductus arteriosus (PDA)can be treated by transcatheter device closure . This study is our experience in Tanta and Benha University Hospitals Aim: Initial experience with transcatheter closure of (PDA) using different types of devices .To evaluate the feasibility , efficacyand safety of transcatheter closure of PDA in pediatric age group patients on basis of short-term follow upPatients & Methods:This prospective observational studyincluded 26 childrenwith PDA; 21 female and 5 males with age 30.2 ± 27.6 months, weight12.8 ± 6.6 Kg and body surface area 0.54 ± 0.2m2. Aortic angiogram was performed to evaluatethe duct sizeand shape for appropriately choosing the occluder type andsize. A second aortic angiogram was performed 10 min after device deployment. Every patient had echocardiographic assessment before and after ductus closure. Follow up was done 24 hour, 1 week and 3 months post-intervention. Evalution included immediate and remote complications, residual shunt, Left ventricle dimensions, left atrium / aorta ratio and pressure gradient along descendingaortaand left pulmonary artery.Results: No complications like thrombus formation, blood loss or infective endocarditis in any casewerereported after successful ducts closure.Completeductus closure was achieved in 77%of cases by 24 hours post-intevension, andin 96.15 %after three months. The left side dimensions had significantly decreased ; the left ventricular end diastolic diameter (LVEDd) decreased from 33.28±4.92mm pre-interventionto 26.54±4.53 after 3 months (P
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