Yıl: 2017 Cilt: 17 Sayı: 2 Sayfa Aralığı: 147 - 155 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Transcatheter closure of PDA in premature babies less than 2 kg

Öz:
Objective: Our hypothesis was that percutaneous PDA closure in babies less than 2 kg was a safe and effective method. The aim of this study is to share our experience in transcatheter PDA closure in infants whose body weight is less than 2 kg in order to support our hypothesis.Methods: Between July 1997 and October 2014, 382 percutaneous PDA closures were done in our center. Nineteen patients who weighed less than 2 kg were included in this retrospectively study. The other inclusion criteria were 1) being symptomatic and PDA was thought as a possible contributor of medical state and 2) persistence of PDA after medical closure treatment. Patients who had sepsis and bleeding diathesis were excluded. According to size and shape of PDA, different types of devices were used such as detachable coils and Amplatzer duct occluders. Data was expressed as mean (SD) or median (minimum–maximum). Comparisons of means and medians were performed with Student’s t-test and with Mann–Whitney U test, respectively.Results: The median patient age and weight were 32 days and 1603 g (range 910–2000 g) respectively. Mean PDA diameter was 3.2±1.3 mm. Morphology of PDA was type A in 7 patients, type C in 10, type E in 1, and type B in 1 patient. There were no reported major complications. Stenosis of left pulmonary artery was detected in four patients, all of which resolved in 6 months follow-up.Conclusion: Percutaneous PDA closure in babies less than 2 kg is a safe and effective method that can be an alternative to surgery. Main distinguishing feature of this study is that it includes the largest cohort of patients less than 2 kg whose PDA closed percutaneously
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Kounis NG. Kounis syndrome (allergic angina and allergic myocardia infarction): a natural paradigm? Int J Cardiol 2006;110:7-14.
  • 2. Kuda Y, Kurata Y, Wang M, Tanida M, Shibamoto T. Major contribution of vasospasm-induced coronary blood flow reduction to anaphylactic ventricular dysfunction assessed in isolated bloodperfused rat heart. Cardiol J 2014;21:11-7.
  • 3. Shah G, Scadding G, Nguyen-Lu N, Wigmore T, Chenzbraun A, Wechalekar K, et al. Peri-operative cardiac arrest with ST elevation secondary to gelofusin anaphylaxis-Kounis syndrome in the anaesthetic room. Int J Cardiol 2013;164:e22-6.
  • 4. Keskin M, Hayıroğlu MI, Onuk T, Keskin Ü, Ekmekçi A. Kounis syndrome presenting with acute inferior wall myocardial infarction and cardiogenic shock secondary to intravenous ampicillin/sulbactam administration. Anatol J Cardiol 2016; 16: 893-4.
  • 5. Soreide E, Buxrud T, Harboe S. Severe anaphylactic reactions outside hospital: etiology, symptoms and treatment. Acta Anaesthesiol Scand 1988; 32: 339-42.
  • 6. Dona I, Blanca-Lopez N, Torres MJ, García-Campos J, GarcíaNúñez I, Gómez F, et al. Drug hypersensitivity reactions: response patterns, drug involved, and temporal variations in a large series of patients. J Investig Allergol Clin Immunol 2012; 22: 363-71.
  • 7. Quercia O, Rafanelli S, Emiliani F, Stefanini GF. Anaphylactic reaction to cinoxacin: report of one case associated with inferior acute myocardial infarction. Eur Ann Allergy Clin Immunol 2003; 35: 61-3.
  • 8. Jackson CE, Dalzell JR, Hogg KJ. Epinephrine treatment of anaphylaxis: an extraordinary case of very late acute stent thrombosis. Circ Cardiovasc Interv 2009; 2: 79-81.
  • 9. Aykan AC, Zehir R, Karabay CY, Özkan M. A case of Kounis syndrome presented with sudden cardiac death. Anatol J Cardiol 2012;12:599-600.
APA Narin N, Pamukcu O, BAYKAN A, Argun M, Ozyurt A, BAYRAM A, Uzum K (2017). Transcatheter closure of PDA in premature babies less than 2 kg. , 147 - 155.
Chicago Narin Nazmi,Pamukcu Ozge,BAYKAN Ali,Argun Mustafa,Ozyurt Abdullah,BAYRAM Adnan,Uzum Kazim Transcatheter closure of PDA in premature babies less than 2 kg. (2017): 147 - 155.
MLA Narin Nazmi,Pamukcu Ozge,BAYKAN Ali,Argun Mustafa,Ozyurt Abdullah,BAYRAM Adnan,Uzum Kazim Transcatheter closure of PDA in premature babies less than 2 kg. , 2017, ss.147 - 155.
AMA Narin N,Pamukcu O,BAYKAN A,Argun M,Ozyurt A,BAYRAM A,Uzum K Transcatheter closure of PDA in premature babies less than 2 kg. . 2017; 147 - 155.
Vancouver Narin N,Pamukcu O,BAYKAN A,Argun M,Ozyurt A,BAYRAM A,Uzum K Transcatheter closure of PDA in premature babies less than 2 kg. . 2017; 147 - 155.
IEEE Narin N,Pamukcu O,BAYKAN A,Argun M,Ozyurt A,BAYRAM A,Uzum K "Transcatheter closure of PDA in premature babies less than 2 kg." , ss.147 - 155, 2017.
ISNAD Narin, Nazmi vd. "Transcatheter closure of PDA in premature babies less than 2 kg". (2017), 147-155.
APA Narin N, Pamukcu O, BAYKAN A, Argun M, Ozyurt A, BAYRAM A, Uzum K (2017). Transcatheter closure of PDA in premature babies less than 2 kg. The Anatolian Journal of Cardiology, 17(2), 147 - 155.
Chicago Narin Nazmi,Pamukcu Ozge,BAYKAN Ali,Argun Mustafa,Ozyurt Abdullah,BAYRAM Adnan,Uzum Kazim Transcatheter closure of PDA in premature babies less than 2 kg. The Anatolian Journal of Cardiology 17, no.2 (2017): 147 - 155.
MLA Narin Nazmi,Pamukcu Ozge,BAYKAN Ali,Argun Mustafa,Ozyurt Abdullah,BAYRAM Adnan,Uzum Kazim Transcatheter closure of PDA in premature babies less than 2 kg. The Anatolian Journal of Cardiology, vol.17, no.2, 2017, ss.147 - 155.
AMA Narin N,Pamukcu O,BAYKAN A,Argun M,Ozyurt A,BAYRAM A,Uzum K Transcatheter closure of PDA in premature babies less than 2 kg. The Anatolian Journal of Cardiology. 2017; 17(2): 147 - 155.
Vancouver Narin N,Pamukcu O,BAYKAN A,Argun M,Ozyurt A,BAYRAM A,Uzum K Transcatheter closure of PDA in premature babies less than 2 kg. The Anatolian Journal of Cardiology. 2017; 17(2): 147 - 155.
IEEE Narin N,Pamukcu O,BAYKAN A,Argun M,Ozyurt A,BAYRAM A,Uzum K "Transcatheter closure of PDA in premature babies less than 2 kg." The Anatolian Journal of Cardiology, 17, ss.147 - 155, 2017.
ISNAD Narin, Nazmi vd. "Transcatheter closure of PDA in premature babies less than 2 kg". The Anatolian Journal of Cardiology 17/2 (2017), 147-155.