The efficacy and safety of the Amplatzer ductal occluder in young children and infants.

Abstract:

BACKGROUND:We have used the Amplatzer ductal occluder for transcatheter closure of large persistently patent arterial ducts, and used our experience to assess the safety and efficacy of the device in young children and infants. METHODS AND PATIENTS:We used the Amplatzer ductal occluder prospectively in 43 patients with large patent arterial ducts, reviewing our experience to identify any problems or complications. RESULTS:The procedure proved successful in 42 of the patients. We achieved complete occlusion of the duct in 33 (78.5 per cent) of the patients on the day of insertion. In 6 additional patients, complete occlusion occurred 1 week to 6 months after the procedure. Trivial leaks persisted in 2 patients, while one had a significant residual leak. Problems were encountered in 7 patients. The procedure failed in one, a device was wasted in 2, pulled through in 3, while we experienced kinking of the long Mullins sheath, being unable to retrieve the device, in one patient. Minor complications occurred in 6 patients, finding flow at a peak velocity of 2.2 metres per second in the descending aorta in 2 patients, and at 2.5 metres per second in 2 further patients, and flow at 2.5 metres per second in the pulmonary arteries of two patients. One patient experienced a major complication due to excessive bleeding. Out of the 14 patients suffering adverse events, 13 weighed less than 10 kilograms. This rate of problems and complication in these patients weighing less than 10 kilograms was significantly higher than in the patients weighing more than 10 kilograms. CONCLUSION:Transcatheter occlusion of moderate to large patent arterial ducts with the Amplatzer ductal occluder device is safe and effective, with a high rate of complete occlusion. Problems and minor complications may be encountered in children weighing less than 10 kilograms. If the device is to be deployed completely in the ductal ampulla, and to avoid descending aortic obstruction, the size of the retention flanges of the occluder should not exceed the largest diameter of the patent arterial duct.

journal_name

Cardiol Young

journal_title

Cardiology in the young

authors

Al-Ata J,Arfi AM,Hussain A,Kouatli AA,Jalal MO

doi

10.1017/S1047951105000570

keywords:

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

279-85

issue

3

eissn

1047-9511

issn

1467-1107

pii

S1047951105000570

journal_volume

15

pub_type

杂志文章
  • Quality of life assessment in children before and after a successful ablation for supraventricular tachycardia.

    abstract:BACKGROUND AND OBJECTIVES:Young patients suffering from rhythm disorders have a negative impact in their quality of life. In recent years, ablation has become the first-line therapy for supraventricular arrhythmias in children. In the light of the current expertise and advancement in the field, we decided to evaluate t...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951120000256

    authors: Gonzalez Corcia MC,Peters L,Sluysmans T,Moniotte S,Carbonez K,Barrea C,Vo C,Vanhoutte L,Scavee C

    更新日期:2020-03-01 00:00:00

  • Normal and abnormal pulmonary arteriovenous shunting: occurrence and mechanisms.

    abstract::Severe cyanosis due to pulmonary arteriovenous fistulas occurs often after a bidirectional superior cavopulmonary anastomosis (Glenn operation) and also in some congenital anomalies in which hepatic venous blood bypasses the lungs in the first passage. Relocation of hepatic flow into the lungs usually causes these fis...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/S1047951113000140

    authors: Hoffman JI

    更新日期:2013-10-01 00:00:00

  • Treatment of atrial septal defects in symptomatic children aged less than 2 years of age using the Amplatzer septal occluder.

    abstract:AIMS:To assess results of closure of atrial septal defects within the oval fossa by devices delivered by catheterisation in symptomatic infants and children under 2 years of age. METHODS AND RESULTS:The Amplatzer septal occluder was used. Results, and complications of transcatheter device treatment in patients aged be...

    journal_title:Cardiology in the young

    pub_type: 临床试验,杂志文章

    doi:10.1017/s1047951100008234

    authors: Vogel M,Berger F,Dähnert I,Ewert P,Lange PE

    更新日期:2000-09-01 00:00:00

  • Haemodynamic impact of stent implantation for lateral tunnel Fontan stenosis: a patient-specific computational assessment.

    abstract:BACKGROUND:The physiological importance of the lateral tunnel stenosis in the Fontan pathway for children with single ventricle physiology can be difficult to determine. The impact of the stenosis and stent implantation on total cavopulmonary connection resistance has not been characterized, and there are no clear guid...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951114002765

    authors: Tang E,McElhinney DB,Restrepo M,Valente AM,Yoganathan AP

    更新日期:2016-01-01 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

  • The relationship between P-wave dispersion and diastolic functions in diabetic children.

    abstract:OBJECTIVE:The aim of this study was to investigate the relations between the P-wave dispersion and diastolic functions in type 1 diabetic children. PATIENTS:A total of 33 diabetic patients without any cardiovascular disease, with a mean age of 12.3 plus or minus 4.2 years, and 29 healthy controls, with a mean age of 1...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S104795110999031X

    authors: Köken R,Demir T,Sen TA,Kundak AA,Oztekin O,Alpay F

    更新日期:2010-04-01 00:00:00

  • Innocent murmurs: the perception of the parents versus that of the child.

    abstract::Innocent murmurs in childhood are common, and often they do not reflect cardiac disease. We have performed a prospective review, by means of a questionnaire, to clarify the parental perception of the innocent murmur identified in their child. Whenever possible, depending on age, we also sought the input of the child. ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951102001063

    authors: Advani N,Menahem S,Wilkinson JL

    更新日期:2002-12-01 00:00:00

  • Systemic hypertension in an infant with unrepaired tetralogy of Fallot: case report.

    abstract::Patients with severe right ventricular outflow tract obstruction in tetralogy of Fallot typically have right-to-left shunting, resulting in low pulmonary blood flow and cyanosis. Here we present the case of an infant with tetralogy of Fallot and severe pulmonary valve stenosis, complicated by systemic hypertension, th...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951112001837

    authors: Khoury M,Kallile M,May J,Punn R

    更新日期:2013-10-01 00:00:00

  • Psychometric testing of the developmental care scale for neonates with congenital heart disease.

    abstract:PURPOSE:Developmental care of neonates with CHD is essential for proper neurodevelopment. Measurement of developmental care specific to these neonates is needed to ensure consistent implementation within and across cardiac ICUs. The purpose of this study was to psychometrically test the Developmental Care Scale for Neo...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119000337

    authors: Arter S,Miller E,Bakas T,Cooper DS

    更新日期:2019-06-01 00:00:00

  • Outcome of pregnancy in women with congenital heart disease.

    abstract::Improvements in diagnosis and surgical technique for correction have led to an increasing number of women with congenital heart disease reaching the child-bearing age. Pregnancy places considerable strain on the heart and circulation and necessitates marked cardiorespiratory adaptation. Today, with the exception of th...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/s1047951100007496

    authors: Schmaltz AA,Neudorf U,Winkler UH

    更新日期:1999-01-01 00:00:00

  • "Shunt index" can be used to predict clinically significant patent ductus arteriosus in premature neonates in early post-natal life.

    abstract:BACKGROUND:This study aimed to examine the differences between arterial and inferior caval vein oxygen saturation, fractional oxygen extraction, and the shunt index, which were calculated in the diagnosis of patent ductus arteriosus. METHODS:Twenty-seven preterm infants were included in this study and were divided int...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113000772

    authors: Yapakçı E,Ecevit A,Törer B,Ince DA,Gökdemir M,Gülcan H,Tarcan A

    更新日期:2014-08-01 00:00:00

  • Myocardial ischaemia in a child infected with influenza B.

    abstract::Cardiac involvement is a rare complication of infection by the influenza B virus. It usually presents with ventricular dysfunction, arrhythmias, or both. We report a 13-year-old boy with clinical, electrocardiographic, and laboratory findings of myocardial ischaemia during an otherwise silent acute infection with infl...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951105000454

    authors: Grosse-Wortmann L,Muehler EG

    更新日期:2005-04-01 00:00:00

  • Evolution of strategies for management of the patent arterial duct.

    abstract::Persistent patency of the arterial duct represents one of the most common lesions in the field of congenital cardiac disease. The strategies for management continue to evolve. In this review, we focus on management beyond the neonatal period. We review the temporal evolution of strategies for management, illustrate th...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,评审

    doi:10.1017/S1047951107001175

    authors: Giroud JM,Jacobs JP

    更新日期:2007-09-01 00:00:00

  • Brain natriuretic peptide can be a useful biochemical marker for myocarditis in patients with Kawasaki disease.

    abstract:UNLABELLED:So as to determine the value of brain natriuretic peptide in the plasma as a biochemical marker for myocarditis of Kawasaki disease, we studied 69 patients. The blood samples, electrocardiograms and cross-sectional echocardiograms were obtained before the commencement of treatment and in the convalescent pha...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951102000318

    authors: Kawamura T,Wago M

    更新日期:2002-03-01 00:00:00

  • The effects of basic fibroblast growth factor in an animal model of acute mechanically induced right ventricular hypertrophy.

    abstract:OBJECTIVE:To evaluate the effect of a continuous infusion of basic fibroblast growth factor on the adaptive potential of the right ventricular myocardium after 30 days of mechanically induced overload in rats. Materials and methods We banded the pulmonary trunk, so as...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951111002034

    authors: Vida VL,Dedja A,Faggin E,Speggiorin S,Padalino MA,Boccuzzo G,Pauletto P,Angelini A,Milanesi O,Thiene G,Stellin G

    更新日期:2012-08-01 00:00:00

  • An analysis of 24 autopsied cases with supramitral rings.

    abstract::The supramitral ring is a rare congenital malformation formed by presence of a ridge of connective tissue, usually attached at or above the mitral annulus. The incidence and clinical presentation is highly variable due to difficulty in diagnosis. A review of autopsied congenital heart diseases at our institute over a ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951108003399

    authors: Vaideeswar P,Baldi MM,Warghade S

    更新日期:2009-02-01 00:00:00

  • Congenitally corrected transposition with pulmonary atresia and intact ventricular septum.

    abstract::We describe a patient with the rare association of the heart in the left chest, congenitally corrected transposition, pulmonary atresia and an intact ventricular septum. There were associated fistulous communications between the morphologically left ventricle and the coronary arteries. Diagnosis was made by echocardio...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s1047951100009227

    authors: Patel CR,Spector ML,Zahka KG

    更新日期:2000-05-01 00:00:00

  • Echocardiographic evaluation of cardiac structure and function in obese Egyptian adolescents.

    abstract:OBJECTIVE:The objective of this study was to detect structural and functional changes in the left and right ventricles in obese Egyptian adolescents. Methods and results Anthropometric and echocardiographic parameters, including tissue Doppler imaging, were obtained from 70 obese adolescents with average body mass inde...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951111001910

    authors: Kamal HM,Atwa HA,Saleh OM,Mohamed FA

    更新日期:2012-08-01 00:00:00

  • Changes in valvular regurgitation in mid-term follow-up of children with first attack acute rheumatic fever: first evaluation after the updated Jones criteria.

    abstract:AIM:In present study, we aimed to evaluate the changes in valvular regurgitations in mid-term follow-up of children with first attack acute rheumatic fever diagnosed after updated Jones criteria. MATERIALS AND METHODS:The medical records of the children diagnosed with acute rheumatic fever between June 2015 and Novemb...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119003317

    authors: Güler M,Laloğlu F,Ceviz N

    更新日期:2020-03-01 00:00:00

  • The relationship between Maude Abbott and Helen Taussig: connecting the historical dots.

    abstract::The literature has scant documentation of the relationship between the important founders of paediatric cardiology, Maude Abbott and Helen Taussig. Recently discovered entries in the diaries kept by Maude Abbott provide evidence for a close connection between them. Further evidence suggests that their association was ...

    journal_title:Cardiology in the young

    pub_type: 传,历史文章,杂志文章

    doi:10.1017/S1047951108002771

    authors: Evans WN

    更新日期:2008-12-01 00:00:00

  • Seahorse left atrial appendage diverticula mimicking a coronary fistula.

    abstract::We report a left atrial appendage diverticulum in close proximity to the left coronary artery, thereby mimicking a fistulous connection between the two structures. ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S104795111400211X

    authors: Cantinotti M,Giordano R,Murzi B

    更新日期:2015-03-01 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

  • Acquired long QT interval complicated with Torsades de Pointes as presentation of a pheochromocytoma in a paediatric patient: a case report.

    abstract::Torsades de Pointes is an extremely rare arrhythmia in children associated to LQT syndrome. Pheochromocytomas are also extremely rare tumours in the paediatric age. We present a case of a young patient with an acquired long QT syndrome complicating with Torsades de Pointes as first clinical manifestation of a pheochro...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S104795111400033X

    authors: Cecilia GM,Emilien D,Laurent H

    更新日期:2015-02-01 00:00:00

  • Plastic bronchitis: symptomatic improvement after pulmonary arterial stenting in four patients with Fontan circulation.

    abstract::Plastic bronchitis is a severe complication after a Fontan procedure, with an estimated incidence around 1-2% and poor prognosis. We present the cases of four patients with plastic bronchitis after a total cavopulmonary connection with a stenosis of the left pulmonary artery that was stented successfully. In three of ...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951113002163

    authors: Tanase D,Ewert P,Eicken A

    更新日期:2015-01-01 00:00:00

  • Interatrial communication through the mouth of the coronary sinus.

    abstract:OBJECTIVES:We describe the structure of, and suggest an etiology for, the interatrial communication which can occur through the mouth of the coronary sinus. Based on the study of human embryos, we propose that the defect is best explained by dissolution of the wall of the coronary sinus adjacent to the left atrium, per...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/s104795110001297x

    authors: Knauth A,McCarthy KP,Webb S,Ho SY,Allwork SP,Cook AC,Anderson RH

    更新日期:2002-07-01 00:00:00

  • Chaotic atrial tachycardia-related ventricular fibrillation in a 2-month-old baby with Wolff-Parkinson-White syndrome.

    abstract::A 2-month-old baby was resuscitated from ventricular fibrillation attributed to a concurrent chaotic atrial tachycardia with Wolff-Parkinson-White syndrome. He underwent successful radiofrequency catheter ablation of an accessory pathway. Throughout the 4-year follow-up after the procedure, the boy remained free of an...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951109992034

    authors: Ko JK,Kim YH,Park IS

    更新日期:2010-04-01 00:00:00

  • A rare association of major aorto-pulmonary collaterals with right isomerism and totally anomalous pulmonary venous drainage.

    abstract::A female neonate, born at term, presented with complex cardiac anatomy dominated by right isomerism and infra-diaphragmatic totally anomalous pulmonary venous connection. Surgical repair was performed using circulatory arrest under deep hypothermia. In the postoperative period, the patient could not be weaned off mech...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951105001836

    authors: Kumar S,Ansari J,Weerasena N

    更新日期:2005-12-01 00:00:00

  • Early weight trends after congenital heart surgery and their determinants.

    abstract:BACKGROUND:Early weight trends after cardiac surgery in infants from low- and middle-income countries where the majority are undernourished have not been defined. We studied the early post-operative weight trends to identify specific factors associated with early weight loss and poor weight gain after discharge followi...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951119002944

    authors: Banerji N,Sudhakar A,Balachandran R,Sunil GS,Kotayil BP,Krishna Kumar R

    更新日期:2020-01-01 00:00:00

  • Myocardial infarction in infancy caused by compression of an anomalous left coronary artery arising from the right coronary artery.

    abstract::A 5-week-old child presented with a cardiac arrest secondary to myocardial ischaemia. Echocardiography demonstrated a single coronary artery arising from the right sinus of Valsalva. The coronary artery branched into left and right arteries, with the left artery then coursing anomalously in the tissue plane between th...

    journal_title:Cardiology in the young

    pub_type: 杂志文章

    doi:10.1017/S1047951104006092

    authors: Duke C,Rosenthal E,Simpson JM

    更新日期:2004-12-01 00:00:00

  • Comparison of intranasal midazolam, intranasal ketamine, and oral chloral hydrate for conscious sedation during paediatric echocardiography: results of a prospective randomised study.

    abstract:OBJECTIVE:There are several agents used for conscious sedation by various routes in children. The aim of this prospective randomised study is to compare the effectiveness of three commonly used sedatives: intranasal ketamine, intranasal midazolam, and oral chloral hydrate for children undergoing transthoracic echocardi...

    journal_title:Cardiology in the young

    pub_type: 杂志文章,随机对照试验

    doi:10.1017/S1047951119001835

    authors: Alp H,Elmacı AM,Alp EK,Say B

    更新日期:2019-09-01 00:00:00