Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants.
- Resource Type
- Academic Journal
- Authors
- Méot M; Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker-Enfants Malades, 75015 Paris, France.; Haddad RN; Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker-Enfants Malades, 75015 Paris, France.; Patkai J; Neonatology Department, Port-Royal Hospital, 75014 Paris, France.; Abu Zahira I; Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker-Enfants Malades, 75015 Paris, France.; Di Marzio A; Anesthesiology, Hôpital Necker-Enfants Malades, 75015 Paris, France.; Szezepanski I; Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker-Enfants Malades, 75015 Paris, France.; Bajolle F; Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker-Enfants Malades, 75015 Paris, France.; Kermorvant E; Neonatology Department, Hôpital Necker-Enfants Malades, 75015 Paris, France.; UFR de Médecine, Université de Paris, Site Cordeliers, 75006 Paris, France.; Lapillonne A; Neonatology Department, Hôpital Necker-Enfants Malades, 75015 Paris, France.; UFR de Médecine, Université de Paris, Site Cordeliers, 75006 Paris, France.; Bonnet D; Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker-Enfants Malades, 75015 Paris, France.; UFR de Médecine, Université de Paris, Site Cordeliers, 75006 Paris, France.; Malekzadeh-Milani S; Centre de Référence Malformations Cardiaques Congénitales Complexes-M3C, Hôpital Necker-Enfants Malades, 75015 Paris, France.
- Source
- Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101648936 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9067 (Print) Linking ISSN: 22279067 NLM ISO Abbreviation: Children (Basel) Subsets: PubMed not MEDLINE
- Subject
- Language
- English
- ISSN
- 2227-9067
(1) Background: Transcatheter closure of the patent arterial duct (TCPDA) in preterm infants is an emerging procedure. Patent arterial duct (PDA) spontaneous closure after failed TCPDA attempts is seen but reasons and outcomes are not reported; (2) Methods: We retrospectively included all premature infants <2 kg with abandoned TCPDA procedures from our institutional database between September 2017 and August 2021. Patients' data and outcomes were reviewed; (3) Results: The procedure was aborted in 14/130 patients referred for TCPDA. Two patients had spasmed PDA upon arrival in the catheterization laboratory and had no intervention. One patient had ductal spasm after guidewire cross. Four patients had unsuitable PDA size/shape for closure. In seven patients, device closure was not possible without causing obstruction on adjacent vessels. Among the 12 patients with attempted TCPDA, five had surgery on a median of 3 days after TCPDA and seven had a spontaneous PDA closure within a median of 3 days after the procedure. Only the shape of the PDA differed between the surgical ligation group (short and conical) and spontaneous closure group (F-type); (4) Conclusions: In the case of TCPDA failure, mechanically induced spontaneous closure may occur early after the procedure. Surgical ligation should be postponed when clinically tolerated.