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Stenting of the ductus arteriosus for ductal-dependent pulmonary blood flow-current techniques and procedural

Varun Aggarwal1, Christopher J Petit2, Andrew C Glatz3,4

  • 1The Lillie Frank Abercrombie Section of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.

Congenital Heart Disease
|February 28, 2019
PubMed

Insights

Prostaglandin-E1 and modified Blalock-Taussig shunt (BTS) improve survival for congenital heart disease. Patent ductus arteriosus stenting offers an alternative, with recent advances enhancing outcomes for ductal-dependent pulmonary blood flow.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Congenital heart disease with ductal-dependent pulmonary blood flow (PBF) historically had poor prognosis.
  • Prostaglandin-E1 and modified Blalock-Taussig shunt (BTS) significantly improved survival rates.
  • Despite advancements, significant morbidity and mortality persist after BTS procedures.

Purpose of the Study:

  • To review the procedural and periprocedural details of patent ductus arteriosus stenting.
  • To highlight recent advances in patent ductus arteriosus stenting for ductal-dependent PBF.
  • To present stenting as an alternative to BTS in select infants.

Main Methods:

  • Review of procedural techniques for patent ductus arteriosus stenting.
  • Analysis of periprocedural management strategies.
  • Emphasis on recent innovations and operator experience.

Main Results:

  • Patent ductus arteriosus stenting is an acceptable alternative to BTS in select infants.
  • Procedural refinement through newer techniques and equipment has improved outcomes.
  • Increased operator experience correlates with better results in stenting procedures.

Conclusions:

  • Patent ductus arteriosus stenting represents a valuable alternative for managing ductal-dependent PBF.
  • Ongoing advancements in stenting techniques are leading to improved patient outcomes.
  • Further research and standardization of stenting procedures are warranted.

Keywords:
congenital heart diseaseductal-dependent pulmonary blood flowpatent ductus arteriosusstent

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