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Ductal closure with radiofrequency energy; outcomes of the first series
Mohammad Dalili1, Jayakeerthi Y Rao2, Mahmoud Meraji1
1Department of Pediatric Cardiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Insights
Radiofrequency energy effectively closes the patent ductus arteriosus (PDA) in children. This minimally invasive technique shows high success rates with only minor, transient complications like hoarseness.
Area of Science:
- Pediatric Cardiology
- Minimally Invasive Surgery
- Medical Device Technology
Background:
- Patent ductus arteriosus (PDA) is a common congenital heart defect.
- Previous reports have explored radiofrequency energy for PDA closure.
- Evaluating long-term outcomes of novel interventions is crucial.
Purpose of the Study:
- To assess the early and late outcomes of radiofrequency-induced PDA closure.
- To determine the safety and efficacy of this innovative procedure in pediatric patients.
- To report complications associated with radiofrequency ablation for PDA.
Main Methods:
- Six children diagnosed with PDA were enrolled in the study.
- Radiofrequency energy was utilized as the primary method for ductal occlusion.
- Clinical outcomes, including success rates and complications, were meticulously monitored.
Main Results:
- The radiofrequency procedure achieved successful closure of the PDA in five out of six patients.
- Transient hoarseness was the sole complication noted, affecting two children.
- No other significant adverse events were reported during the early or late follow-up periods.
Conclusions:
- Radiofrequency energy presents a viable and effective option for patent ductus arteriosus closure in pediatric cases.
- The procedure demonstrates a favorable safety profile, with minimal and temporary side effects.
- Further research may validate radiofrequency ablation as a standard treatment for PDA.
Abstract:
Using radiofrequency energy for closure of the patent ductus arteriosus (PDA) has been reported by us previously. In this article we report the early and late outcome of the first group in whom patent ductus arteriosus has been occluded with radiofrequency. Six children with PDA were enrolled. The procedure was successful in five cases and transient hoarseness was observed in 2 cases as the only complication.
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