Procedural success and short- and mid-term results of percutaneous closure of persistent arterial duct with the Amplatzer Duct Occluder II [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2011; 39(3): 219-223 | DOI: 10.5543/tkda.2011.01396

Procedural success and short- and mid-term results of percutaneous closure of persistent arterial duct with the Amplatzer Duct Occluder II

Hekim Karapınar1, Zekeriya Küçükdurmaz1, Sadettin Sezer2, İbrahim Gül1, Hasan Ali Gümrükçüoğlu3, Hidayet Kayançiçek3, Müntecep Aşker3, Ali Baykan2, Ahmet Yılmaz1, Mehmet Güngör Kaya4, Nazmi Narin2
1Department of Cardiology, Cumhuriyet University, Sivas, Turkey
2Department of Pediatric Cardiology, Erciyes University, Kayseri, Turkey
3Department of Cardiology, Van High Specialty Education And Research Hospital, Van, Turkey
4Department of Cardiology, Erciyes University, Kayseri, Turkey


OBJECTIVES
We evaluated the effectiveness and reliability of percutaneous closure of persistent arterial duct (PAD) with the Amplatzer Duct Occluder II (ADO II), together with short- and mid-term results.

STUDY DESIGN
The study included 16 patients (10 girls, 6 boys; median age 6 years; range 5 months to 12 years) who underwent percutaneous PAD closure with the ADO II device. The ductus diameter was less than 6 mm in all the cases. According to the Krichenko classification, 10 patients had type A, five patients had type E, and one patient had residual PAD. The patients were assessed by aortography and echocardiography. The mean follow-up was 13.9 months (range 2 to 23 months).

RESULTS
Closure of PAD was successfully performed via the arterial approach in all the patients. The median ductus waist diameter was 3 mm (range 2 to 5 mm), the median device waist diameter was 4 mm (range 3 to 6 mm), and the waist length was 4 or 6 mm. The mean fluoroscopy time and the mean procedure time were 10.6 min (range 4 to 39 min) and 30 min (range 18 to 80 min), respectively. Immediate aortography following the procedure showed shunt only through the device lumen. No residual shunt or increases in aortic and left pulmonary flow velocities were observed in echocardiographic examinations. No complications occurred during the procedure and follow-up.

CONCLUSION
In all the cases, the ADO II device was found effective and reliable for closure of PADs of less than 6 mm.

Keywords: Child, ductus arteriosus, patent/therapy, equipment design, heart catheterization

How to cite this article
Hekim Karapınar, Zekeriya Küçükdurmaz, Sadettin Sezer, İbrahim Gül, Hasan Ali Gümrükçüoğlu, Hidayet Kayançiçek, Müntecep Aşker, Ali Baykan, Ahmet Yılmaz, Mehmet Güngör Kaya, Nazmi Narin. Procedural success and short- and mid-term results of percutaneous closure of persistent arterial duct with the Amplatzer Duct Occluder II. Turk Kardiyol Dern Ars. 2011; 39(3): 219-223

Corresponding Author: Hekim Karapınar, Türkiye
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