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Clinical study of stand-alone transthoracic echocardiography-guided percutaneous occlusion of patent ductus arteriosus [Anatol J Cardiol]
Anatol J Cardiol. 2018; 20(1): 30-34 | DOI: 10.14744/AnatolJCardiol.2018.90001  

Clinical study of stand-alone transthoracic echocardiography-guided percutaneous occlusion of patent ductus arteriosus

Hua Cao, Qiang Chen, Gui-can Zhang, Liang-wan Chen, Fan Xu, Jia-xin Zhang
Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University; Fuzhou-P. R. China

Objective: We aimed to investigate the feasibility and safety of stand-alone transthoracic echocardiography-guided percutaneous occlusion of patent ductus arteriosus (PDA) without the use of X-ray equipment.
Methods: From January to December 2015, we performed stand-alone transthoracic echocardiography-guided percutaneous PDA occlusion using an occluder delivered via a delivery sheath introduced via femoral vein access without the use of X-ray equipment in 12 PDA patients.
Results: PDA occlusion was successfully performed in all 12 patients. The procedure duration ranged from 30 to 110 min (50.4±22.8 min), and the size of the implanted occluder ranged from 12 to 20 mm (15.2±2.8 mm). No occluder migration, residual shunt, or thrombotic complications were observed in the perioperative period. There was no clinical death, hemolysis, infection, or embolism during patients’ hospitalization and the follow-up period.
Conclusion: Stand-alone transthoracic echocardiography-guided percutaneous PDA occlusion without the use of X-ray equipment is a safe and effective procedure.

Keywords: congenital heart disease, cardiac intervention, echocardiography


Hua Cao, Qiang Chen, Gui-can Zhang, Liang-wan Chen, Fan Xu, Jia-xin Zhang. Clinical study of stand-alone transthoracic echocardiography-guided percutaneous occlusion of patent ductus arteriosus. Anatol J Cardiol. 2018; 20(1): 30-34

Corresponding Author: Hua Cao, China


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