Heart Views

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 20  |  Issue : 4  |  Page : 139--145

Percutaneous device closure of patent ductus arteriosus in adult patients with 10-year follow-up


Wail Alkashkari1, Saad Albugami1, Jamilah Alrahimi1, Mohammed Althobaiti2, Abdulhalim Kinsara1, Ahmed Abousa1, Ahmed Krimly1, Atif Alzahrani1, Akram Niazi1, Hayam Aburemish3 
1 Department of Cardiology, King Faisal Cardiac Center, Ministry of National Guard Health Affairs; King Abdullah International Medical Research Center; Department of Medical Research, King Saud Bin Abdulaziz University for Health Science, Jeddah, Saudi Arabia
2 King Abdullah International Medical Research Center; Department of Medical Research, King Saud Bin Abdulaziz University for Health Science; Department of Radiology, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Jeddah, Saudi Arabia
3 King Abdullah International Medical Research Center; Department of Medical Research, King Saud Bin Abdulaziz University for Health Science; Department of Pediatric Cardiology, King Faisal Cardiac Center, Ministry of National Guard Health Affairs, Jeddah, Saudi Arabia

Correspondence Address:
Dr. Wail Alkashkari
Department of Cardiology, King Faisal Cardiac Center, Ministry of National Guard Health Affairs, Jeddah
Saudi Arabia

Objectives: We report our 10-year experience with transcatheter closure of patent ductus arteriosus (PDA) in adult using different closure devices. Background: Transcatheter closure of PDA in adults can be challenging because of frequently associated comorbidities. Reports on immediate and intermediate-term results of PDA closure are excellent. This study aimed to provide the outcomes of PDA closure using different devices on long and very long term follow-up in adults. Materials and Methods: Between September 2009 and December 2018, data were retrospectively reviewed from 27 patients who underwent transcatheter closure of PDA. Outcome parameters were procedural success, procedure-related complications, evidence of residual shunt, and improvement in the signs/symptoms for which the procedure was performed. The mean follow-up interval was 72 months. Results: A device was successfully implanted in 27 of 27 patients (15 females). Median age and weight were 24 years (range: 18–57 years) and 69 kg (range: 53–102 kg), respectively. The mean PDA diameter was 4.1 ± 2.1 mm. Devices used were Amplatzer Duct Occluder (19/27), Occlutech Duct Occluder (6/27), and PFM Nit-Occlud (2/27). Doppler transthoracic echocardiography (TTE) demonstrated 92.6% of full occlusion at day 1, rising to 96.3% at 1 month. Three procedure-related complications occurred with no death. Among symptomatic 26 patients (96.3%), there was marked improvement in symptoms. Among 22 patients (81.5%) for whom the procedure was performed to address left ventricular (LV) enlargement, there was reduction or stabilization in LV size on serial TTEs. Conclusions: Transcatheter closure of PDA in the adult patient appears to be safe and effective.


How to cite this article:
Alkashkari W, Albugami S, Alrahimi J, Althobaiti M, Kinsara A, Abousa A, Krimly A, Alzahrani A, Niazi A, Aburemish H. Percutaneous device closure of patent ductus arteriosus in adult patients with 10-year follow-up.Heart Views 2019;20:139-145


How to cite this URL:
Alkashkari W, Albugami S, Alrahimi J, Althobaiti M, Kinsara A, Abousa A, Krimly A, Alzahrani A, Niazi A, Aburemish H. Percutaneous device closure of patent ductus arteriosus in adult patients with 10-year follow-up. Heart Views [serial online] 2019 [cited 2019 Dec 12 ];20:139-145
Available from: http://www.heartviews.org/article.asp?issn=1995-705X;year=2019;volume=20;issue=4;spage=139;epage=145;aulast=Alkashkari;type=0