Immediate and early results of closure of moderate to large patent arterial ducts using the new Amplatzer device.

Abstract:

OBJECTIVES:Our aim was to assess the immediate and short term results of closure of moderate and large patent arterial ducts using the self-expanding and repositionable Amplatzer device. METHOD:We attempted closure in 25 patients (10 Females and 15 males) using the Amplatzer occluder. Their median age was 48 months with a range from 8 months to 26 years and median weight of 14 kg with a range from 4.5 kg to 48 kg. The mean ductal diameter was 4.1 mm (S.D 1.51 mm). A 6F/7F long sheath was used to deliver the device. Follow up was performed with colour- flow mapping of the pulmonary trunk within 24 hours, at 3 months, and 6 months of closure. RESULTS:Of the 25 patients, the device was placed successfully in 23. Concurrent angiography showed immediate closure in 12 patients, while 8 had trivial shunting and 3 had mild shunting. Within 24 hours, Doppler examination revealed complete closure in all but three patients, who had a mild residual shunt. Two attempts were unsuccessful. Both these patients underwent successful surgical ligation. All except one patient were discharged on the next day. Of the 23 patients, 15 (65%) have been followed up for 3 months, while 8 (35%) have completed 6 months of follow-up. Of the three patients initially with mild residual flow, two had completely closed at 3 months The one remaining patient is yet to be seen at the 3 month follow-up. Thus, at 3 months, all patients studies had shown complete closure. CONCLUSION:Antegrade transcatheter closure using the Amplatzer duct occluder is an efficacious treatment for bigger patent arterial ducts. Long-term follow-up is necessary to show sustained benefits and confirm the absence of side effects.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Marwah A,Radhakrishnan S,Shrivastava S

doi

10.1017/s1047951100009124

keywords:

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

208-11

issue

3

eissn

1047-9511

issn

1467-1107

journal_volume

10

pub_type

临床试验,杂志文章
  • The effect of milrinone on hemodynamic and gas exchange parameters in children.

    abstract::Milrinone is a drug frequently used for hemodynamic support in children during critical illness. Although the hemodynamic changes induced by milrinone in children may appear similar to those of adults, the physiologic contributors of these changes remain vastly unknown. A systematic review was conducted to identify st...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119002865

    authors: Loomba RS,Dorsey V,Villarreal EG,Flores S

    更新日期:2020-01-01 00:00:00

  • Clinical and molecular characterisation of Holt-Oram syndrome focusing on cardiac manifestations.

    abstract:BACKGROUND:Holt-Oram syndrome is characterised by CHD and limb anomalies. Mutations in TBX5 gene, encoding the T-box transcription factor, are responsible for the development of Holt-Oram syndrome, but such mutations are variably detected in 30-75% of patients. METHODS:Clinically diagnosed eight Holt-Oram syndrome pat...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951114001656

    authors: Jhang WK,Lee BH,Kim GH,Lee JO,Yoo HW

    更新日期:2015-08-01 00:00:00

  • Levels of vasopressin in children undergoing cardiopulmonary bypass.

    abstract:OBJECTIVES:It is accepted treatment to give vasopressin to adults in postcardiotomy shock, but such use in children is controversial. Cardiopulmonary bypass is presumed to attenuate the normal endogenous vasopressin response to shock. We hypothesized that levels of vasopressin in children are altered by bypass, and tha...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951108001881

    authors: Morrison WE,Simone S,Conway D,Tumulty J,Johnson C,Cardarelli M

    更新日期:2008-04-01 00:00:00

  • Factors affecting vascular access complications in children undergoing congenital cardiac catheterization.

    abstract:BACKGROUND:Complications at the vascular access sites are among the most common adverse events in congenital cardiac catheterization. The use of small-gauge catheters may reduce these events; however, other factors can contribute to the development of vascular complications. OBJECTIVES:To determine factors associated ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951111000989

    authors: Roushdy AM,Abdelmonem N,El Fiky AA

    更新日期:2012-04-01 00:00:00

  • Postpericardiotomy syndrome: no evidence for a viral etiology.

    abstract:BACKGROUND:Postpericardiotomy syndrome has been considered a disorder induced by viral infection. This conclusion is based on serologic criterions, but these may be unreliable following either cardiopulmonary bypass or transfusion therapy. Previous studies have not verified the proposed etiology either by isolation of ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951100012440

    authors: Webber SA,Wilson NJ,Junker AK,Byrne SK,Perry A,Thomas EE,Book L,Tipple M,Patterson MW,Sandor GG

    更新日期:2001-01-01 00:00:00

  • De novo aortopathy and cardiovascular outcomes in paediatric liver transplant recipients.

    abstract::With the increase in long-term survival of post-transplant children, there is a paradigm shift in the emphasis of post-transplant care. We describe de novo cardiovascular abnormalities, which occurred in otherwise asymptomatic paediatric liver transplant recipients, who received liver allografts between 1991 and 2014 ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S104795111800063X

    authors: Huang JG,Lim T,Quek SC,Quak SH,Aw MM

    更新日期:2018-08-01 00:00:00

  • An international survey of the nutrition management of chylothorax: a time for change.

    abstract:INTRODUCTION:Although chylothorax is an uncommon complication following paediatric cardiothoracic surgery, it has significant associated morbidities and increased in-hospital mortality, as well as results in higher costs. A lack of prospective evidence or consensus guidelines for management of chylothorax further hinde...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,多中心研究

    doi:10.1017/S1047951119001525

    authors: Marino LV,Bell KL,Woodgate J,British Dietetic Association Paediatric Cardiology Interest Group.,Doolan A

    更新日期:2019-09-01 00:00:00

  • Usefulness of real-time three-dimensional trans-oesophageal echocardiography for detection of isolated unroofed coronary sinus.

    abstract::We report a case of unroofed coronary sinus not associated with the persistent left superior vena cava. Definite diagnosis of the unroofed coronary sinus was obtained by trans-oesophageal echocardiography, which revealed the unroofed portion with left-to-right shunt. Real-time three-dimensional trans-oesophageal echoc...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113002400

    authors: Nakano Y,Iwamoto M,Masuda M

    更新日期:2015-01-01 00:00:00

  • Visualization of morphological details in congenitally malformed hearts: virtual three-dimensional reconstruction from magnetic resonance imaging.

    abstract::In recent years, three-dimensional imaging has provided new opportunities for visualizing congenital cardiac malformations. We present the initial clinical experience using a recently implemented system, which employs some of new interactive, real-time, techniques. We show how three-dimensional rendering based on magn...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:

    authors: Sørensen TS,Pedersen EM,Hansen OK,Sørensen K

    更新日期:2003-10-01 00:00:00

  • Intraoperative rescue by placement of a stent following a surgical coronary arterial injury in a child.

    abstract::An acute injury to a coronary artery was recognized during the surgical construction of the Fontan circulation. Surgical manipulation of the site of injury was not successful in restoring normal myocardial blood flow. A stent was therefore placed intraoperatively under direct vision, with restoration of normal coronar...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951104001180

    authors: Duncan WJ,LeBlanc JG,Human DG

    更新日期:2004-02-01 00:00:00

  • Sarcoma of the mitral valve causing coronary arterial occlusion in children.

    abstract::Primary tumors of the cardiac valves are rare. One of the most common reasons that left-sided cardiac tumors come to clinical attention is embolization to the systemic circulation. We present two children who suffered left coronary arterial occlusion due to embolization of a sarcoma of the mitral valve. A 6-year-old f...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951101000786

    authors: McElhinney DB,Carpentieri DF,Bridges ND,Clark BJ,Gaynor JW,Spray TL

    更新日期:2001-09-01 00:00:00

  • Family history of associated disorders in patients with postural tachycardia syndrome.

    abstract:INTRODUCTION:Postural tachycardia syndrome is more frequently being recognised in adolescents and adults. However, its pathophysiology remains undefined. We evaluated our database for patterns in family history of clinical symptoms and associated disorders in these patients. MATERIALS AND METHODS:Patients with postura...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120000165

    authors: Boris JR,Huang J,Shuey T,Bernadzikowski T

    更新日期:2020-03-01 00:00:00

  • Rare combination of bilateral divided atrial chambers and pulmonary vein stenosis with review of the literature.

    abstract:INTRODUCTION:The term cor triatriatum is used to describe a fibromuscular partition that divides an atrium into two compartments. It was first used by Borst in 1905, although the lesion had been described before by Church in 1868. Both described divided left atrial chamber (also referred to as cor triatriatum sinister)...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/S1047951114001073

    authors: Al-Mousily F,Baslaim G,Kouatli A,Al-Ata J,Arfi AM

    更新日期:2015-02-01 00:00:00

  • The quality, understandability, readability, and popularity of online educational materials for heart murmur.

    abstract:OBJECTIVE:Murmurs are abnormal audible heart sounds produced by turbulent blood flow. Therefore, murmurs in a child may be a source of anxiety for family members. Families often use online materials to explore possible reasons for these murmurs, given the accessibility of information on the Internet. In this study, we ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S104795111900307X

    authors: Arslan D,Sami Tutar M,Kozanhan B,Bagci Z

    更新日期:2020-03-01 00:00:00

  • Aborted sudden cardiac death in a young soldier with concomitant hypertrophic cardiomyopathy and Wolff-Parkinson-White syndrome.

    abstract::We present a young soldier presenting with aborted sudden cardiac death, who was found to have concomitant hypertrophic cardiomyopathy and Wolff-Parkinson-White syndrome. Along with pathological haemodynamic features of hypertrophic cardiomyopathy, an easily-inducible re-entrant tachycardia was clearly documented in o...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951118002123

    authors: Kim S,Song WH,Kim SS

    更新日期:2019-02-01 00:00:00

  • Unique foetal diagnosis of aorto-pulmonary collaterals in right atrial isomerism.

    abstract::Right atrial isomerism is associated with complex cardiac malformations, particularly single-ventricle lesions; right atrial isomerism is rarely associated with aorto-pulmonary collateral arteries. We report a foetal diagnosis of right atrial isomerism, with an unbalanced atrioventricular septal defect, pulmonary sten...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120003649

    authors: Mawad W,Dutil N,Thakur V

    更新日期:2020-11-26 00:00:00

  • Magnetic resonance coronary angiography to evaluate coronary arterial lesions in patients with Kawasaki disease.

    abstract::We evaluated the efficiency of non-invasive magnetic resonance coronary angiography in detecting coronary arterial lesions in 106 patients, aged from 4 months to 37 years, with a median of 13 years, with Kawasaki disease. Non-contrast enhanced, free-breathing magnetic resonance coronary angiographic studies using both...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951106001168

    authors: Suzuki A,Takemura A,Inaba R,Sonobe T,Tsuchiya K,Korenaga T

    更新日期:2006-12-01 00:00:00

  • Clinical impact of a novel ambulatory rhythm monitor in children.

    abstract::Traditional ambulatory rhythm monitoring in children can have limitations, including cumbersome leads and limited monitoring duration. The ZioTM patch ambulatory monitor is a small, adhesive, single-channel rhythm monitor that can be worn up to 2 weeks. In this study, we present a retrospective cross-sectional analysi...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951118001142

    authors: May JW,Carter EL,Hitt JR,Burklow TR

    更新日期:2018-10-01 00:00:00

  • Acute treatment of critical vascular stenoses with a bioabsorbable magnesium scaffold in infants with CHDs.

    abstract:BACKGROUND:Post-operative severe vascular stenosis and proliferating endothelial tissue lead to severe circulatory disorders and impair organ perfusion. Bioabsorbable magnesium scaffolds may help to overcome these obstructions without leaving obstructing stent material. We analyse their role in the treatment of vascula...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120000384

    authors: Zartner PA,Schranz D,Mini N,Schneider MB,Schneider K

    更新日期:2020-04-01 00:00:00

  • Complex atrial arrhythmias as first manifestation of catecholaminergic polymorphic ventricular tachycardia: an unusual course in a patient with a new mutation in ryanodine receptor type 2 gene.

    abstract::Catecholaminergic polymorphic ventricular tachycardia is a rare life-threatening arrhythmogenic disorder. An association with paroxysmal atrial fibrillation and other atrial arrhythmias has been described, but in all published cases the initial manifestation of the disease was ventricular arrhythmia. This is the first...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113001091

    authors: Lawrenz W,Krogmann ON,Wieczorek M

    更新日期:2014-08-01 00:00:00

  • Percutaneous transcatheter occlusion of the patent arterial duct using the pfm DuctOcclud Coil via a trans-aortic and trans-pulmonary approach.

    abstract::Occlusion using coils is now the treatment of choice for closure of the patent arterial duct. The DuctOcclud (pfm AG, Cologne, Germany) device is a relatively new retrievable coil for such trans-catheter closure. This study expands on previously reported experience with this device, summarizes the advantages of the de...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951102000793

    authors: Friedberg M,Khoury A,Schwartz Y,Braver Y,Lorber A

    更新日期:2002-10-01 00:00:00

  • Evolution of the QT interval in premature infants: a preliminary study.

    abstract:BACKGROUND:The association between long QT interval and sudden infant death syndrome has been clearly established. Several studies have been conducted to determine the evolution of the QT interval in childhood from birth, but only in full-term newborns. However, data on the QT interval in pre-term infants are extremely...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951111001958

    authors: Séguéla PE,Rozé JC,Gournay V

    更新日期:2012-08-01 00:00:00

  • Near-fatal neonatal coronary ischaemia associated with intermittent aortic regurgitation: successful surgical treatment.

    abstract::An infant presented with features suggestive of an anomalous left coronary artery was found to have normal origins of both coronary arteries. Echocardiography during episodes of ischaemia showed marked aortic regurgitation with retrograde coronary flow. The left coronary leaflet was mildly hypoplastic. Surgical re-sus...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951115002024

    authors: Likes ML,Silverman NH,Albers EL,Choy R,Bhat A,McMullan DM

    更新日期:2015-12-01 00:00:00

  • Treatment of familial hypercholesterolaemia in children and adolescents in the last three decades.

    abstract:BACKGROUND:This study evaluated the effectiveness of long-term intensive lipid-lowering therapy in children and adolescents with familial hypercholesterolaemia. METHODS:The charts of 89 children and adolescents with heterozygous familial hypercholesterolaemia among ∼1000 patients treated from 1974 to 2008 were reviewe...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113000528

    authors: Elis A,Zhou R,Stein EA

    更新日期:2014-06-01 00:00:00

  • Physical activity and obesity in children with congenital cardiac disease.

    abstract:BACKGROUND:Children with congenital cardiac disease experience challenges in developing healthy patterns of physical activity due to decreased exercise capacity and parental fear and confusion about what is permissible. The purpose of this study was to describe physical activity habits in children 10-14 years of age wi...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951111000540

    authors: Ray TD,Green A,Henry K

    更新日期:2011-12-01 00:00:00

  • Initial use of endothelial progenitor cells capturing stents in paediatric congenital heart disease.

    abstract:INTRODUCTION:Stenosis, mediated by neointimal hyperplasia and thrombosis, is a major limiting factor in successful stent implantation. The introduction of a stent, coated in its endoluminal surface by antihuman CD34 antibodies with endothelial progenitor cell-capturing properties, opens the possibility of promoting a r...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113001376

    authors: Cabanelas N,Martins JD,Pinto F

    更新日期:2014-10-01 00:00:00

  • The prevalence and effects of aspiration among neonates at the time of discharge.

    abstract:BACKGROUND:Neonates undergoing heart surgery for CHD are at risk for postoperative gastrointestinal complications and aspiration events. There are limited data regarding the prevalence of aspiration after neonatal cardiothoracic surgery; thus, the effects of aspiration events on this patient population are not well und...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S104795111600278X

    authors: Karsch E,Irving SY,Aylward BS,Mahle WT

    更新日期:2017-09-01 00:00:00

  • Safety and utility of passive peritoneal drainage following Fontan palliation.

    abstract:OBJECTIVE:Placement of peritoneal drainage catheters intra-operatively has been shown to help prevent fluid overload in children recovering from surgery for two-ventricle heart disease. We aimed to determine whether this practice is also helpful in children recovering from Fontan palliation. MATERIAL AND METHODS:A ret...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113000693

    authors: Pitman-Hunt C,Richards KL,Delius RE,Walters HL 3rd,Mastropietro CW

    更新日期:2014-06-01 00:00:00

  • Initial clinical experience in transcatheter closure of large patent arterial ducts in infants using the modified and angled Amplatzler duct occluder.

    abstract:OBJECTIVE:To establish the feasibility and efficacy of closing large patent arterial duct in infants, using the modified and angled variants of the Amplatzer duct occluder. BACKGROUND:Closure of large patent arterial ducts by inserting devices in sick and underweight infants, particularly those weighing around 5 kilog...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951106000394

    authors: Vijayalakshmi IB,Chitra N,Rajasri R,Vasudevan K

    更新日期:2006-08-01 00:00:00

  • Effect of steroids on inflammatory markers and clinical parameters in congenital open heart surgery: a randomised controlled trial.

    abstract:BACKGROUND:Cardiopulmonary bypass is associated with systemic inflammatory response. Steroids suppress this response, although the therapeutic evidence remains controversial. We hypothesised that intravenous steroids in children undergoing open-heart surgery would decrease inflammation leading to better early post-oper...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1047951115000566

    authors: Amanullah MM,Hamid M,Hanif HM,Muzaffar M,Siddiqui MT,Adhi F,Ahmad K,Khan S,Hasan Z

    更新日期:2016-03-01 00:00:00