Title: Transcatheter Closure of Patent Ductus Arteriosus- Observational Data Comparing Device and Coil
Authors: N.Jayaprasad DM, Suresh Madhavan DM
DOI: https://dx.doi.org/10.18535/jmscr/v6i1.08
Abstract
Background: Transcatheter closure of PDA has largely replaced surgical ligation in different age groups. Coils and Amplatzer Duct Occluder (ADO) are the most frequently used closure devices.
Aim: Aim of the study is to compare our data on the outcome and complications of transcatheter coil closure of PDA with that of device closure.
Methods: From April 2014 to April 2017, 57 patients underwent transcatheter closure of PDA in our centre and were included in the study. Echocardiographic, angiographic data and procedure results were analysed.
Results: During the study period 24 patients underwent PDA coil closure and 33 patients underwent device closure. Coils were used mostly in small and moderate sized PDA whereas ADO was used in moderate to large PDA. Procedure success was 96.9% for device and 91.6% for coil closure. In the immediate post-procedure period residual shunts tended to be more in coil closure group. Complications were rare in both groups.
Conclusions: Transcatheter closure of PDA is very safe and effective and achieves near complete occlusion in most cases. Coil closure is nearly as effective as device closure in small and moderate sized PDA.
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