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Percutaneous closure of a large patent ductus arteriosus in a preterm newborn weighing 1400 g without using arterial sheath: an innovative technique

Part of: Interventional Cardiology

Published online by Cambridge University Press:  13 December 2017

Gaurav Garg ,
Vishal Garg  and
Amit Prakash
Gaurav Garg*
Affiliation:
Department of Pediatric Cardiology, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India
Vishal Garg
Affiliation:
Department of Cardiac Anesthesia, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India
Amit Prakash
Affiliation:
Department of Cardiac Anesthesia, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India
*
Correspondence to: G. Garg, Department of Pediatric Cardiology, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India. Tel: +91 83744 43317; Fax: +91 11 49782233; E-mail: gauravgarg2983@gmail.com
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Abstract

Percutaneous closure of patent ductus arteriosus is well established in infants weighing >5 kg, but data regarding outcome of preterm especially very low birth weight infants is minimal. Although surgical ligation of patent ductus arteriosus is the preferred and well-accepted modality of treatment after failure of drug therapy in preterm infants, it has also got its own demerits in such a small and fragile subset. Device closure in infants weighing <1.5 kg is rarely attempted because of high chances of complications, especially acute arterial injury due to the arterial sheath. We received a 1.4-kg ventilator-dependent infant for closure of large patent ductus arteriosus. Percutaneous closure of patent ductus arteriosus was done successfully and the infant was discharged on room air with a weight of 1.8 kg. We present here an innovative technique in which successful patent ductus arteriosus device closure was done in a 1.4-kg infant without using arterial sheath.

Keywords

PDA device closurepretermwithout arterial sheath
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 3 , March 2018 , pp. 494 - 497
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Copyright
© Cambridge University Press 2017 

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References

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