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Tytuł:
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Sizing of patent ductus arteriosus in adults for transcatheter closure using the balloon pull-through technique.
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Autorzy:
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Shafi NA; Division of Cardiovascular Medicine, University of California, Davis Medical Center, Sacramento, California.
Singh GD; Division of Cardiovascular Medicine, University of California, Davis Medical Center, Sacramento, California.
Smith TW; Division of Cardiovascular Medicine, University of California, Davis Medical Center, Sacramento, California.
Rogers JH; Division of Cardiovascular Medicine, University of California, Davis Medical Center, Sacramento, California.
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Źródło:
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Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2018 May 01; Vol. 91 (6), pp. 1159-1163. Date of Electronic Publication: 2017 Sep 25.
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Typ publikacji:
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Journal Article; Video-Audio Media
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Język:
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English
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Imprint Name(s):
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Original Publication: New York, NY : Wiley-Liss, c1999-
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MeSH Terms:
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Cardiac Catheters*
Cardiac Catheterization/*instrumentation
Ductus Arteriosus, Patent/*therapy
Adolescent ; Adult ; Aged ; Atrial Function, Left ; Cardiac Catheterization/adverse effects ; Ductus Arteriosus, Patent/diagnostic imaging ; Ductus Arteriosus, Patent/physiopathology ; Equipment Design ; Female ; Hemodynamics ; Humans ; Male ; Retrospective Studies ; Treatment Outcome ; Ventricular Function, Left ; Young Adult
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Contributed Indexing:
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Keywords: adults; angiographic/fluoroscopic; closure ASD/PDA/PFO; congenital heart disease; imaging
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Entry Date(s):
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Date Created: 20170926 Date Completed: 20190610 Latest Revision: 20190613
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Update Code:
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20240105
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DOI:
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10.1002/ccd.27303
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PMID:
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28944572
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Objectives: To describe a novel balloon sizing technique used during adult transcatheter patent ductus arteriosus (PDA) closure. In addition, to determine the clinical and procedural outcomes in six patients who underwent PDA balloon sizing with subsequent deployment of a PDA occluder device.
Background: Transcatheter PDA closure in adults has excellent safety and procedural outcomes. However, PDA sizing in adults can be challenging due to variable defect size, high flow state, or anatomical complexity. We describe a series of six cases where the balloon- pull through technique was successfully performed for PDA sizing prior to transcatheter closure.
Methods: Consecutive adult patients undergoing adult PDA closure at our institution were studied retrospectively. A partially inflated sizing balloon was pulled through the defect from the aorta into the pulmonary artery and the balloon waist diameter was measured. Procedural success and clinical outcomes were obtained.
Results: Six adult patients underwent successful balloon pull-through technique for PDA sizing during transcatheter PDA closure, since conventional angiography often gave suboptimal opacification of the defect. All PDAs were treated with closure devices based on balloon PDA sizing with complete closure and no complications. In three patients that underwent preprocedure computed tomography, the balloon size matched the CT derived measurements.
Conclusion: The balloon pull-through technique for PDA sizing is a safe and accurate sizing modality in adults undergoing transcatheter PDA closure.
(© 2017 Wiley Periodicals, Inc.)
