Catheter closure of the arterial duct in preterm infants

• Published in: Archives of disease in childhood. Fetal and neonatal edition Vol. 92; no. 4; pp. F248 - F250
• Main Authors: Roberts, Philip, Adwani, Satish, Archer, Nick, Wilson, Neil
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health 01.07.2007; BMJ Publishing Group LTD; BMJ Group
• Subjects: Aortography; arterial duct; Babies; Birth Weight; Cardiac Catheterization - methods; Catheters; device closure; Diuretics; Drug dosages; Ductus Arteriosus, Patent - diagnostic imaging; Ductus Arteriosus, Patent - therapy; Gestational Age; Humans; Infant; Infant, Newborn; Infant, Premature; Infant, Premature, Diseases - diagnostic imaging; Infant, Premature, Diseases - therapy; Infants; left pulmonary artery; LPA; LPA, left pulmonary artery; Lung diseases; Medical instruments; Medical treatment; Mortality; Neonates; non-steroidal anti-inflammatory drug; NSAID; NSAID, non-steroidal anti-inflammatory drug; Original; Original articles; Ostomy; Patients; Premature birth; preterm; Prosthesis Implantation - methods; Pulmonary arteries; Treatment Outcome; Ultrasonography; Veins & arteries; Ventilation; United Kingdom > UK
• ISSN: 1359-2998; 1468-2052
• DOI: 10.1136/adc.2005.078600

Background: When medical treatment of a symptomatic arterial duct in a preterm infant fails, management is surgical. Patients and Methods: 10 preterm neonates referred to a tertiary cardiac centre for treatment of a symptomatic patent arterial duct who underwent cardiac catheterisation with the intention of device closure. Results: Successful catheter device closure of the arterial duct in nine preterm infants is described. Conclusion: In selected cases, catheter device closure may offer an alternative to thoracotomy and surgical ligation.