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  • Title: Transcatheter device closure of patent ductus arteriosus without arterial access--single institution experience.
    Author: Garg G, Srivastava A, Tyagi H, Reddy SP, Radha AS.
    Journal: Indian Heart J; 2013; 65(5):546-51. PubMed ID: 24206878.
    Abstract:
    OBJECTIVE: Retrospective analysis of feasibility, safety and advantages of device closure of patent ductus arteriosus (PDA) using only venous access. BACKGROUND: Arterial access for transcatheter device closure of PDA has been a standard practice, but has inherent complications, especially in infants. METHOD: Records of patients who underwent PDA device closure from 2004 to 2012 were reviewed. Echocardiography was used for patient selection and for assessment of procedural outcome. RESULT: 151 out of 179 patients underwent PDA device closure with venous access alone, weighing 2.2-58 kg with half <10 kg and follow up of 6 months-8 years. Fluoroscopic time ranged from 2.2 to 16 min. Immediate closure was achieved in 146 patients. Two patients had new-onset left pulmonary artery turbulence and one had residual flow. CONCLUSION: PDA device closure without arterial access can be accomplished safely and effectively in vast majority of patients including infants.
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