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Recanalization of arterial duct is feasible, effective and its potential risks are treatable

El-Segaier, Milad LU ; Galal, Mohammed O.; Eldin, Ghada Shiekh and Momenah, Tarek (2015) In Acta Cardiologica 70(1). p.13-19
Abstract
Background Recanalization of arterial duct (AD) is rarely needed. Objective The aim of this study is to report our experience regarding the feasibility and effectiveness of arterial duct recanalization in three infants and review the relevant literature. Methods and results We report on three patients with decreased pulmonary blood flow after initial palliation. The first patient had pulmonary atresia (PA) and an intact ventricular septum. He needed recanalization of the AD after pulmonary valve perforation and dilatation. The second patient had PA and ventricular septal defect (VSD). His AD originated from the left subclavian artery. He required AD recanalization after palliation with a central shunt and clipping of the duct. During... (More)
Background Recanalization of arterial duct (AD) is rarely needed. Objective The aim of this study is to report our experience regarding the feasibility and effectiveness of arterial duct recanalization in three infants and review the relevant literature. Methods and results We report on three patients with decreased pulmonary blood flow after initial palliation. The first patient had pulmonary atresia (PA) and an intact ventricular septum. He needed recanalization of the AD after pulmonary valve perforation and dilatation. The second patient had PA and ventricular septal defect (VSD). His AD originated from the left subclavian artery. He required AD recanalization after palliation with a central shunt and clipping of the duct. During intervention he developed a thrombus in the stent, which was treated successfully using thrombolytic treatment. The third patient had PA and VSD. The arterial duct originated from the left subclavian artery and was recanalized after spontaneous closure despite prostaglandin infusion. During the procedure the patient had severe desaturation and bradycardia requiring resuscitation for two minutes. All infants had successful arterial duct recanalization and stenting. Additionally, they were clinically stable during follow-up. Conclusion Arterial duct recanalization and stenting is a feasible and effective procedure in selected cases, and its risks are treatable. Long-term studies are required. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Arterial duct recanalization, stent, stent thrombosis, congenital heart, disease
in
Acta Cardiologica
volume
70
issue
1
pages
13 - 19
publisher
Acta Cardiologica
external identifiers
  • wos:000350011600002
  • scopus:84922754073
ISSN
0001-5385
DOI
10.2143/AC.70.1.3064589
language
English
LU publication?
yes
id
ff355205-c3c1-4cdf-aab2-80cedecfa59f (old id 5305588)
date added to LUP
2015-05-04 08:58:02
date last changed
2017-01-01 06:09:37
@article{ff355205-c3c1-4cdf-aab2-80cedecfa59f,
  abstract     = {Background Recanalization of arterial duct (AD) is rarely needed. Objective The aim of this study is to report our experience regarding the feasibility and effectiveness of arterial duct recanalization in three infants and review the relevant literature. Methods and results We report on three patients with decreased pulmonary blood flow after initial palliation. The first patient had pulmonary atresia (PA) and an intact ventricular septum. He needed recanalization of the AD after pulmonary valve perforation and dilatation. The second patient had PA and ventricular septal defect (VSD). His AD originated from the left subclavian artery. He required AD recanalization after palliation with a central shunt and clipping of the duct. During intervention he developed a thrombus in the stent, which was treated successfully using thrombolytic treatment. The third patient had PA and VSD. The arterial duct originated from the left subclavian artery and was recanalized after spontaneous closure despite prostaglandin infusion. During the procedure the patient had severe desaturation and bradycardia requiring resuscitation for two minutes. All infants had successful arterial duct recanalization and stenting. Additionally, they were clinically stable during follow-up. Conclusion Arterial duct recanalization and stenting is a feasible and effective procedure in selected cases, and its risks are treatable. Long-term studies are required.},
  author       = {El-Segaier, Milad and Galal, Mohammed O. and Eldin, Ghada Shiekh and Momenah, Tarek},
  issn         = {0001-5385},
  keyword      = {Arterial duct recanalization,stent,stent thrombosis,congenital heart,disease},
  language     = {eng},
  number       = {1},
  pages        = {13--19},
  publisher    = {Acta Cardiologica},
  series       = {Acta Cardiologica},
  title        = {Recanalization of arterial duct is feasible, effective and its potential risks are treatable},
  url          = {http://dx.doi.org/10.2143/AC.70.1.3064589},
  volume       = {70},
  year         = {2015},
}