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Ductal stenting in a limited-resource set up: a single naive centre experience in Eastern India of 88 patients

Published online by Cambridge University Press:  19 May 2025

Nurul Islam Open the ORCID record for Nurul Islam [Opens in a new window] ,
Siddhartha Saha Open the ORCID record for Siddhartha Saha [Opens in a new window] ,
Soumyadeep Biswas ,
Chandrasekhar Dey  and
Krishnendu Khan
Nurul Islam
Affiliation:
Department of Paediatric Cardiology, Department of Paediatric Medicine, Health World Hospitals, Durgapur, West Bengal, India
Siddhartha Saha*
Affiliation:
Department of Paediatric Cardiology, Department of Paediatric Medicine, Health World Hospitals, Durgapur, West Bengal, India
Soumyadeep Biswas
Affiliation:
Department of Paediatric Cardiology, Department of Paediatric Medicine, Health World Hospitals, Durgapur, West Bengal, India
Chandrasekhar Dey
Affiliation:
Department of Paediatric Cardiology, Department of Paediatric Medicine, Health World Hospitals, Durgapur, West Bengal, India
Krishnendu Khan
Affiliation:
Department of Paediatric Cardiology, Department of Paediatric Medicine, Health World Hospitals, Durgapur, West Bengal, India
*
Corresponding author: Siddhartha Saha; Email: drsiddharthasahasskm@gmail.com
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Abstract

Objectives:

To enumerate the experience in different parameters, including demographic, anatomic, procedural, ICU care, and outcome of ductal stenting procedures in duct-dependent pulmonary circulation in a resource-limited setup.

Background:

Stenting the arterial duct emerged as an alternative to a variety of surgical interventions in the early 1990s. Ductal stenting in neonates with duct-dependent pulmonary circulation may maintain duct patency reliably for several months as an alternative to systemic-to-pulmonary shunts.

Methods:

This is a retrospective review from a single centre with a developing paediatric cardiology unit and limited paediatric cardiac surgical scope. Eighty-nine symptomatic patients who needed stable ductal flow for adequate pulmonary circulation underwent the procedure from October 2018 to December 2022.

Results:

We had a procedural success rate of 98.8% (one case failed out of 89) and a successful discharge rate of 96.6% (85 discharged out of 88; 3 immediate mortalities). At the six-month follow-up, the success rate was 93% (6 mortalities in 88 patients). No patient underwent a rescue surgical shunt, but an elective Blalock-Taussig shunt was needed in 1 patient (1.1%). In the remaining 82 cases, 65 are now in follow-up, among them 22 already underwent single-ventricle palliation, and 8 underwent biventricular repair successfully.

Conclusions:

Ductal stenting is less invasive well-accepted alternative for first-stage palliation. Our focus in this study is to practice this even in resource-limited settings as an alternative to surgical shunts with good short- and mid-term outcomes.

Keywords

Arterial ductCHDcyanosisnewbornstent

Information

Type
Original Article
Information
Cardiology in the Young , First View , pp. 1 - 7
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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