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Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants

(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...

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Autores principales: Méot, Mathilde, Haddad, Raymond N., Patkai, Juliana, Abu Zahira, Ibrahim, Di Marzio, Anna, Szezepanski, Isabelle, Bajolle, Fanny, Kermorvant, Elsa, Lapillonne, Alexandre, Bonnet, Damien, Malekzadeh-Milani, Sophie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700662/
https://www.ncbi.nlm.nih.gov/pubmed/34943334
http://dx.doi.org/10.3390/children8121138
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author Méot, Mathilde
Haddad, Raymond N.
Patkai, Juliana
Abu Zahira, Ibrahim
Di Marzio, Anna
Szezepanski, Isabelle
Bajolle, Fanny
Kermorvant, Elsa
Lapillonne, Alexandre
Bonnet, Damien
Malekzadeh-Milani, Sophie
author_facet Méot, Mathilde
Haddad, Raymond N.
Patkai, Juliana
Abu Zahira, Ibrahim
Di Marzio, Anna
Szezepanski, Isabelle
Bajolle, Fanny
Kermorvant, Elsa
Lapillonne, Alexandre
Bonnet, Damien
Malekzadeh-Milani, Sophie
author_sort Méot, Mathilde
collection PubMed
description (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.
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spelling pubmed-87006622021-12-24 Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants Méot, Mathilde Haddad, Raymond N. Patkai, Juliana Abu Zahira, Ibrahim Di Marzio, Anna Szezepanski, Isabelle Bajolle, Fanny Kermorvant, Elsa Lapillonne, Alexandre Bonnet, Damien Malekzadeh-Milani, Sophie Children (Basel) Article (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. MDPI 2021-12-05 /pmc/articles/PMC8700662/ /pubmed/34943334 http://dx.doi.org/10.3390/children8121138 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Méot, Mathilde
Haddad, Raymond N.
Patkai, Juliana
Abu Zahira, Ibrahim
Di Marzio, Anna
Szezepanski, Isabelle
Bajolle, Fanny
Kermorvant, Elsa
Lapillonne, Alexandre
Bonnet, Damien
Malekzadeh-Milani, Sophie
Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants
title Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants
title_full Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants
title_fullStr Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants
title_full_unstemmed Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants
title_short Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants
title_sort spontaneous closure of the arterial duct after transcatheter closure attempt in preterm infants
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8700662/
https://www.ncbi.nlm.nih.gov/pubmed/34943334
http://dx.doi.org/10.3390/children8121138
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