Outcome Transcatether Patent Ductus Arteriosus Closure in Children

Authors

  • Tri Rachmadijanto
  • Mahrus Abdur Rahman
  • I Ketut Alit Utamayasa

DOI:

https://doi.org/10.37506/mlu.v21i4.3160

Keywords:

Transcatether closure, PDA, ADO I, ADO II, Nit-Occlude, MFO

Abstract

Objective: To evaluated outcome transcatether PDA closure and differentiated LVEDD, EF pre and post
transcatether PDA closure. Methods: Hospital registry was reviewed and data about patients characteristics,
PDA size, device occluder and outcomes were retrieved. An descriptive analytic study with a retrospective
design was conducted on all medical records of PDA pediatric patients who received definitive transcatheter
PDA closure at IDIK and were treated at the Department of Child Health, Dr. Soetomo Hosptal from January
2017 until December 2019. The variables studied are: outcome transcatether PDA closure (complete closure,
residual shunt, emboli device, obstruction pulmonaly artery, obstruction Aorta descendent, hemolysis,
LVEDD and EF). Post catheterization included a follow up of immediately, 1 day, 1 month, 3 months, 6
months, and 12 months after catheterization. The data were processed and statistical comparative tests were
carried out. Results: There were 101 subjects, of whom were 33 males, who underwent transcatether closure
of PDA during study periode. The diameter PDA ranged from 1-7.5 mm, with median 3.4 mm. Median
age 4.3 years (4 months-18 years), median body weight was 15.4 (5 – 45) kg. Device could be deployed in
all patients, in which ADO I 65%, ADO II 15%, Nit Occlude 2% and MFO 19%. Immediately Complete
closure was achieved in most patiens (92,1%) and small residual shunt (7,9%), no major complication
during or after procedure. Most patient were discharged from hospital at 3 day after procedure. LVEDD and
EF was decreased after intervention transcatether closure (P <0.05). There were no significant differences in
LVEDD and EF transcatether based on closured method and sex. Conclusion: All patients showed complete
closure during followed up. Transcatheter closure of PDA is safe and effective with shorter hospitalization
and minimally complications.

Author Biographies

Tri Rachmadijanto

Resident, Department of Child Health, Faculty of Medicine, Universitas Airlangga – Dr. Soetomo
General Academic Hospital, Surabaya, Indonesia

Mahrus Abdur Rahman

Lecturer, Department of Child Health, Faculty of Medicine, Universitas Airlangga – Dr. Soetomo
General Academic Hospital, Surabaya, Indonesia

I Ketut Alit Utamayasa

Lecturer, Department of Child Health, Faculty of Medicine, Universitas Airlangga – Dr. Soetomo
General Academic Hospital, Surabaya, Indonesia

Published

2021-08-27

How to Cite

Tri Rachmadijanto, Mahrus Abdur Rahman, & I Ketut Alit Utamayasa. (2021). Outcome Transcatether Patent Ductus Arteriosus Closure in Children. Medico Legal Update, 21(4), 369-374. https://doi.org/10.37506/mlu.v21i4.3160

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