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A beneficial technique for preventing the device protrusion to the aorta during percutaneous patent ductus arteriosus closure: “Balloon-assisted device releasing technique”

Published online by Cambridge University Press:  10 September 2019

Serdar Epçaçan Open the ORCID record for Serdar Epçaçan [Opens in a new window] ,
Mustafa Orhan Bulut Open the ORCID record for Mustafa Orhan Bulut [Opens in a new window] ,
İlker Kemal Yücel Open the ORCID record for İlker Kemal Yücel [Opens in a new window]  and
Ahmet Çelebi Open the ORCID record for Ahmet Çelebi [Opens in a new window]
Serdar Epçaçan*
Affiliation:
Department of Paediatric Cardiology, Van Training and Research Hospital, University of Health Sciences, Van, Turkey
Mustafa Orhan Bulut
Affiliation:
Department of Paediatric Cardiology, Dr. Siyami Ersek Hospital for Cardiology and Cardiovascular Surgery, University of Health Sciences, Istanbul, Turkey
İlker Kemal Yücel
Affiliation:
Department of Paediatric Cardiology, Dr. Siyami Ersek Hospital for Cardiology and Cardiovascular Surgery, University of Health Sciences, Istanbul, Turkey
Ahmet Çelebi
Affiliation:
Department of Paediatric Cardiology, Dr. Siyami Ersek Hospital for Cardiology and Cardiovascular Surgery, University of Health Sciences, Istanbul, Turkey
*
Author for correspondence: S. Epçaçan, MD, Department of Pediatric Cardiology, Van Training and Research Hospital, University of Health Sciences, 65100, Edremit, Van, Turkey. Tel: +90 505 454 14 84; E-mail: drserdar1980@gmail.com
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Abstract

Background:

Although percutaneous closure of patent ductus arteriosus is an established safe procedure, protrusion of the device to descending aorta may occur in various degrees during these procedures, especially in small infants. The aim of our study is to evaluate the benefits of balloon-assisted device releasing technique in the era of preventing device protrusion and conditions related to protrusion.

Methods:

One hundred and fifty-five infants, who underwent patent ductus arteriosus closure with Amplatzer duct occluder I device between January, 2012 and December, 2018, were retrospectively analysed. Balloon-assisted device releasing technique was used in 20 cases (group 1, 12.9%), between January, 2015 and December, 2018. Procedures in which the technique had been used were compared with the remaining ones (group 2, 87.1%, n = 135) with regard to device stabilisation, aortic disc protrusion to the aorta, iatrogenic coarctation, and device embolisation.

Results:

There was no significant difference by means of gender, age, weight, and the ductal diameter, whereas the average mean pulmonary artery pressure was significantly higher in group 1. Device protrusion and related complications were significantly higher in group 2; thus, additional catheterisations or surgical interventions were required, while no additional intervention was required in group 1.

Conclusion:

The balloon-assisted device releasing technique provides a good device stabilisation and prevents protrusion of the device and related complications during percutaneous patent ductus arteriosus closure in selected cases.

Keywords

Patent ductus arteriosus closuredevice protrusioncoarctationembolisationballoon-assisted device releasing
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 11 , November 2019 , pp. 1380 - 1386
Copyright
© Cambridge University Press 2019 

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