Echocardiography-Guided Percutaneous Patent Ductus Arteriosus Closure: 1-Year Single Center Experience in Indonesia

Sisca Natalia Siagian, Radityo Prakoso, Bayushi Eka Putra, Yovi Kurniawati, Olfi Lelya, Aditya Agita Sembiring, Indriwanto Sakidjan Atmosudigdo, Poppy Surwianti Roebiono, Anna Ulfah Rahajoe, Ganesja Moelia Harimurti, Brian Mendel, Christianto Christianto, Moira Setiawan, Oktavia Lilyasari

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Since the first successful percutaneous closure under transesophageal echocardiographic (TEE) guidance, many centers explored transcatheter procedures without fluoroscopy. This single-center study is aimed to show the feasibility and safety of percutaneous patent ductus arteriosus (PDA) closure under echocardiography-only guidance during our 1-year experience. Methods: Patients with PDA were recruited for percutaneous PDA closure guided by either fluoroscopy or echocardiography-only in National Cardiovascular Center Harapan Kita (ClinicalTrials.gov Identifier: NCT05321849, clinicaltrials.gov/ct2/show/NCT05321849). Patients were evaluated clinically and radiologically using transthoracic echocardiography (TTE) at 6, 24, and 48 h after the procedure. The primary endpoint was the procedural success. Secondary endpoints were the procedural time and the rate of adverse events. Results: A total of 60 patients underwent transcatheter PDA closure, 30 patients with fluoroscopy and 30 patients with echocardiography guidance. All patients had successful PDA closure. There were only residual shunts, which were disappeared after follow-up in both groups, but one patient with a fluoroscopy-guided procedure had moderate tricuspid regurgitation with suspected thrombus in the tricuspid valve. The procedural time was not significantly different between the fluoroscopy and echocardiography groups.

Original languageEnglish
Article number885140
JournalFrontiers in Cardiovascular Medicine
Volume9
DOIs
Publication statusPublished - 23 May 2022

Keywords

  • congenital heart disease
  • echocardiography
  • fluoroscopy
  • patent ductus arteriosus
  • percutaneous

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