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:: Volume 24, Issue 3 (Iranian South Medical Journal 2021) ::
Iran South Med J 2021, 24(3): 172-179 Back to browse issues page
Outcomes of Ductus Arteriosus Stenting in Neo-nates with Pulmonary Valve Atresia and Ventricu-lar Septal Defect
Mohammad Reza Edraki1 , Ahmad Ali Amirghofran 2
1- The cardiac research center, Shiraz University of Medical Sciences, Shiraz, Iran
2- Cardiac surgery department, Shiraz University of Medical Sciences, Shiraz, Iran , amirghofranaa@yahoo.com
Abstract:   (390 Views)
Background: Patent Ductus Arteriosus (PDA) stenting is an interventional method to supply pulmonary blood flow in patients with ductal dependent pulmonary blood flow. This study was conducted to evaluate neonatal PDA stenting at Shiraz University of Medical Sciences, Shiraz, Iran.
Materials and Methods: Thirty neonates with a diagnosis of pulmonary valve atresia and ventricular septal defect (VSD) were included in this study. Neonatal PDA stenting had been performed on them from February 2017 to November 2019 at Shiraz University of Medical Sciences. The mortality rate, stent lumen stenosis and stent redilation and also SpO2 of all the patients were assessed before stenting and one year after and compared with the data from other studies. A CT angiography of the aorta and pulmonary arteries had been performed on ten patients at the age of one year; the McGoon ratio was calculated for them and compared against this ratio at their neonatal angiography.
Results: PDA stenting was successful in 23 cases (77%) and non-successful in seven cases (23%); meanwhile, four patients expired during or early after stenting. Regarding the access sites for PDA stenting, 22 PDAs were accessed via the axillary artery, six via the femoral arteries and two via the inferior vena cava using an antegrade approach. SpO2 and the McGoon ratio had improved significantly one year after stenting compared to before, with SpO2 increasing from 54.43±6.54 to 83±7.33 and McGoon ratio from 1.18±0.23 to 1.67±0.31.
Conclusion: Ductal stenting is an effective and less invasive therapeutic method for increasing arterial Osaturation and maintaining pulmonary blood flow. Most of our patients had good SpO2 one year after PDA stenting without any additional re-intervention and the McGoon ratio had increased sufficiently in them.
Keywords: Patent ductus arteriosus, pulmonary valve atresia, McGoon ratio, neonates
Full-Text [PDF 384 kb]   (61 Downloads)    
Type of Study: Original | Subject: Cardiovascular System
Received: 2021/02/15 | Accepted: 2021/07/3 | Published: 2021/09/1
References
1. Boucek DM, Qureshi AM, Goldstein BH, et al. Blalock-Taussig Shunt Versus Patent Ductus Arteriosus Stent As First Palliation For Ductal-Dependent Pulmonary Circulation Lesions: A Review Of The Literature. Congenit Heart Dis 2019; 14(1): 105-9.
2. Eilers L, Qureshi AM. Advances In Pediatric Ductal Intervention: An Open Or Shut Case?. Curr Cardiol Rep 2020; 22(3): 14.
3. Dorobantu DM, Pandey R, Sharabiani MT, et al. Indications And Results Of Systemic To Pulmonary Shunts: Results From A National Database. Eur J Cardiothorac Surg 2016; 49(6): 1553-63.
4. Khalil M, Jux C, Rueblinger L, et al. Acute Therapy Of Newborns With Critical Congenital Heart Disease. Transl Pediatr 2019; 8(2): 114-26.
5. Santoro G, Capozzi G, Caianiello G, et al. Pulmonary Artery Growth After Palliation Of Congenital Heart Disease With Duct-Dependent Pulmonary Circulation: Arterial Duct Stenting Versus Surgical Shunt. J Am Coll Cardiol 2009; 54(23): 2180-6.
6. Ghaedian T, Mirzaei M, Ghaedian MM. Relationship between Baseline ECG Abnormalities and Quantitative Perfusion Parameters of Myocardial Perfusion Finding. Iran South Med J 2020; 22(6): 381-91. (Persian)
7. Santoro G, Gaio G, Giugno L, et al. Ten-Years, Single-Center Experience With Arterial Duct Stenting In Duct-Dependent Pulmonary Circulation: Early Results, Learning-Curve Changes, And Mid-Term Outcome. Catheter Cardiovasc Interv 2015; 86(2): 249-57.
8. Glatz AC, Petit CJ, Goldstein BH, et al. Comparison Between Patent Ductus Arteriosus Stent And Modified Blalock-Taussig Shunt As Palliation For Infants With Ductal-Dependent Pulmonary Blood Flow: Insights From The Congenital Catheterization Research Collaborative. Circulation 2018; 137(6): 589-601.
9. Benson L, Arsdell GV. Comparisons Between Ductal Stenting And Blalock-Taussig Shunts For Infants With Ductal-Dependent Pulmonary Circulation. Circulation 2018; 137(6): 602-4.
10. Meadows JJ, Qureshi AM, Goldstein BH, et al. Comparison Of Outcomes At Time Of Superior Cavopulmonary Connection Between Single Ventricle Patients With Ductal-Dependent Pulmonary Blood Flow Initially Palliated With Either Blalock-Taussig Shunt Or Ductus Arteriosus Stent: Results From The Congenital Catheterization Research Collaborative. Circ Cardiovasc Interv 2019; 12(10): e008110.
11. Mcmullan DM, Permut LC, Jones TK, et al. Modified Blalock-Taussig Shunt Versus Ductal Stenting For Palliation Of Cardiac Lesions With Inadequate Pulmonary Blood Flow. J Thorac Cardiovasc Surg 2014; 147(1): 397-401.
12. Alsagheir A, Koziarz A, Makhdoum A, et al. Duct Stenting Versus Modified Blalock–Taussig Shunt In Neonates And Infants With Duct-Dependent Pulmonary Blood Flow: A Systematic Review And Meta-Analysis. J Thorac Cardiovasc Surg 2021; 161(2): 379-90.
13. Alwi M. Stenting The Ductus Arteriosus: Case Selection, Technique And Possible Complications. Ann Pediatr Cardiol 2008; 1(1): 38-45.
14. Cinteza EE, Nicolescu AM, Filip C, et al. Interventional Treatment Of Cardiac Emergencies In Children With Congenital Heart Diseases. J Cardiovasc Emerg 2019; 5(1): 7-17.
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Edraki M R, Amirghofran A A. Outcomes of Ductus Arteriosus Stenting in Neo-nates with Pulmonary Valve Atresia and Ventricu-lar Septal Defect. Iran South Med J. 2021; 24 (3) :172-179
URL: http://ismj.bpums.ac.ir/article-1-1473-en.html


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Volume 24, Issue 3 (Iranian South Medical Journal 2021) Back to browse issues page
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