Korean J Pediatr.  2013 Sep;56(9):396-400. 10.3345/kjp.2013.56.9.396.

Transcatheter closure of small ductus arteriosus with amplatzer vascular plug

• Cho EH
• Song J
• Kang IS
• Huh J
• Lee SY
• Choi EY
• Kim SJ

• KMID: 1493121
• DOI: http://doi.org/10.3345/kjp.2013.56.9.396

Abstract

PURPOSE
The purpose of this study was to share our experience of transcatheter closure of small patent ductus arteriosus (PDA) by using an Amplatzer vascular plug (AVP).
METHODS
We reviewed the medical records of 20 patients who underwent transcatheter closure at Samsung Medical Center and Sejong General Hospital from January 2008 to August 2012. The size and shape of the PDAs were evaluated by performing angiograms, and the PDA size and the AVP devices size were compared.
RESULTS
The mean age of the patients was 54.9+/-45.7 months old. The PDAs were of type C (n=5), type D (n=12), and type E (n=3). The mean pulmonary end diameter of the PDA was 1.7+/-0.6 mm, and the aortic end diameter was 3.6+/-1.4 mm. The mean length was 7.3+/-1.8 mm. We used 3 types of AVP devices: AVP I (n=5), AVP II (n=7), and AVP IV (n=8). The ratio of AVP size to the pulmonary end diameter was 3.37+/-1.64, and AVP size/aortic end ratio was 1.72+/-0.97. The aortic end diameter was significantly larger in those cases repaired with AVP II than in the others (P=0.002). The AVP size did not significantly correlate with the PDA size, but did correlate with smaller ratio of AVP size to aortic end diameter (1.10+/-0.31, P=0.032).
CONCLUSION
Transcatheter closure of small PDA with AVP devices yielded satisfactory outcome. AVP II was equally effective with smaller size of device, compared to others.

Keyword

Patent ductus arteriosus; Cardiac catheterization; Vascular access devices

MeSH Terms

Cardiac Catheterization
Ductus Arteriosus
Ductus Arteriosus, Patent
Hospitals, General
Humans
Medical Records
Vascular Access Devices