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Techniques in Cardiology : PDA Closure in Children

J S Dugal1, V Jetley2, J K Sharma1

  • 1Ex-Classified Specialist (Medicine & Cardiology), Military Hospital, Cardio Thoracic Centre, Pune-40.

Medical Journal, Armed Forces India
|July 14, 2016
PubMed

Insights

Transcatheter closure of patent ductus arteriosus (PDA) using a novel coil-Bioptome-sheath system offers a successful nonsurgical alternative to surgical repair. This case report details the effective closure of a large PDA in a pediatric patient, highlighting a new procedural option.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Pediatric Cardiology

Background:

  • Transcatheter closure of patent ductus arteriosus (PDA) is an established alternative to surgical repair.
  • Minimally invasive techniques aim to reduce the morbidity associated with surgical closure.

Purpose of the Study:

  • To report the initial experience with a novel coil-Bioptome-sheath system for transcatheter PDA closure.
  • To demonstrate the feasibility of this system in closing a large, tubular PDA.

Main Methods:

  • A 2-year-old female with a large, tubular PDA underwent transcatheter closure.
  • A 0.052" coil was deployed using a coil-Bioptome-sheath system, deviating from standard 0.038" coils and delivery systems.

Main Results:

  • Successful nonsurgical closure of the large PDA was achieved.
  • The novel coil-Bioptome-sheath system facilitated the closure of this challenging defect.

Conclusions:

  • The coil-Bioptome-sheath system represents a viable option for nonsurgical closure of large PDAs.
  • This case marks the first reported use of this system within the Armed Forces healthcare setting.
Abstract

Keywords:
ChildrenCoil-Bioptome-Sheath systemPatent Ductus Arteriosus (PDA)

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