Transesophageal echocardiography-guided percutaneous patent ductus arteriosus closure without fluoroscopy

作者全名："Wang, Gang; Wu, Yuhao; Pan, Zhengxia; Wu, Chun; Li, Yonggang; Li, Hongbo; Wang, Quan; Liu, Bo; Dai, Jiangtao"

作者地址："[Wang, Gang; Wu, Yuhao; Pan, Zhengxia; Wu, Chun; Li, Yonggang; Li, Hongbo; Wang, Quan; Liu, Bo; Dai, Jiangtao] Chongqing Med Univ, Dept Cardiothorac Surg, Childrens Hosp, Chongqing, Peoples R China; [Wang, Gang; Wu, Yuhao; Pan, Zhengxia; Wu, Chun; Li, Yonggang; Li, Hongbo; Wang, Quan; Liu, Bo; Dai, Jiangtao] Minist Educ, Natl Clin Res Ctr Child Hlth & Disorders, Chongqing Key Lab Pediat, Key Lab Child Dev & Disorders,China Int Sci & Tech, Chongqing, Peoples R China"

通信作者："Dai, JT (通讯作者)，Chongqing Med Univ, Dept Cardiothorac Surg, Childrens Hosp, Chongqing, Peoples R China.; Dai, JT (通讯作者)，Minist Educ, Natl Clin Res Ctr Child Hlth & Disorders, Chongqing Key Lab Pediat, Key Lab Child Dev & Disorders,China Int Sci & Tech, Chongqing, Peoples R China."

来源：JOURNAL OF CARDIOTHORACIC SURGERY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000968671100001

JCR分区：Q3

影响因子：1.5

年份：2023

卷号：18

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Transesophageal echocardiography; Patent ductus arteriosus; Femoral vein; Percutaneous closure

摘要："ObjectivesA retrospective study was performed to summarize the experience of transcatheter closure of patent ductus arteriosus (PDA) through the right femoral vein under the guidance of transesophageal echocardiography (TEE).MethodsFrom January 2019 to September 2021, 75 children who underwent PDA closure through the right femoral vein under the guidance of TEE were included. The guide wire and delivery sheath were inserted through the ductus arteriosus into the descending aorta via the right femoral vein, and the occluder was subsequently deployed. After discharge, all patients were required for outpatient follow-ups at 1, 3, 6 and 12 months.ResultsIn this group, patients were older than 10 months of age and body weight greater than 8 kg. Among 75 cases with PDA, 63 were tubular type and 12 were conical type. The mean operative time was 40.2 +/- 7.3 min. The size of PDA occluder ranged from 4-6 to 12-14 mm. The mean hospital stay was 5.5 +/- 0.5 days. One month after discharge, there were 4 cases with a mild residual shunt. Eventually, the residual shunt was not observed during 3, 6, and 12 months of follow-up.ConclusionsPDA closure under the guidance of TEE can be performed through the right femoral vein successfully and effectively. This procedure has no contrast agent usage, radiation exposure, or open incisions."

基金机构：　

基金资助正文：