Skip to main content
Log in

Short-Term Result of Ductus Arteriosus Stent Implantation Compared With Surgically Created Shunts

  • Original Article
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

This report aims to compare the researchers’ early experience with the safety, efficacy, short-term outcomes, and complications of patent ductus arteriosus (PDA) stents in neonates having duct-dependent pulmonary circulation with those of surgically created shunts. Between April 2009 and April 2011, 18 infants with duct-dependent pulmonary circulation underwent cardiac catheterization for PDA stenting as the first palliative procedure in a referral center. For comparison, 20 infants who underwent surgical aortopulmonary shunt placement in another center were used. Follow-up assessment included clinical examination, echocardiography, oxygen saturation, and cardiac catheterization studies. Access and stenting for the PDA were successful in 15 patients (83.3 %). The mean procedure time was 58.43 ± 41.25 min, and the mean fluoroscopy time was 18.81 ± 5.64 min. Three patients (20 %) in the stented group and 6 patients (30 %) in the surgical group died (P = 0.09). After a 6-month follow-up period, none of the patients had significant stent stenosis requiring reintervention. The oxygen saturation increase did not differ significantly between the two groups either immediately after the procedure or 6 months later (P > 0.5). The left pulmonary artery diameter, McGoon ratio, and Nakata index did not differ significantly between the two groups (P > 0.05), but the right pulmonary diameter was larger in the stented group (5.01 ± 0.45 vs 4.1 ± 0.49 mm; P = 0.0001). Stenting for the PDA is an appropriate alternative to surgical shunt creation in many patients with duct-dependent circulation. In our sample, the two groups did not differ significantly in terms of outcome or mortality.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Alwi M (2008) Stenting the ductus arteriosus: case selection, technique, and possible complications. Ann Pediatr Cardiol 1:38–45

    Article  PubMed  Google Scholar 

  2. Alwi M, Choo KK, Latiff HA, Kandavello G, Samion H, Mulyadi MD (2004) Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in duct-dependent pulmonary circulation. J Am Coll Cardiol 44:438–445

    Article  PubMed  Google Scholar 

  3. Amoozgar H, Mehdizadegan N, Ajami G, Borzouee M (2010) Chylothorax in children: a retrospective study. J Pediatr Sci 2:e14

    Google Scholar 

  4. Gewillig M, Boshoff DE, Dens J, Mertens L, Benson LN (2004) Stenting the neonatal arterial duct in duct-dependent pulmonary circulation: new techniques, better results. J Am Coll Cardiol 43:107–112

    Article  PubMed  Google Scholar 

  5. Gibbs J, Rothman M, Rees M, Parsons J, Blackburn M, Ruiz C (1992) Stenting of the arterial duct: a new approach to palliation for pulmonary atresia. Br Heart J 67:240–245

    Article  PubMed  CAS  Google Scholar 

  6. Gibbs J, Uzun O, Blackburn M, Wren C, Hamilton L, Watterson KG (1999) Fate of the stented arterial duct. Circulation 99:2621–2625

    Article  PubMed  CAS  Google Scholar 

  7. Gold JP, Violaris R, Engle MA et al (1993) A five-year clinical experience with 112 BT shunts. J Card Surg 8:9–17

    Article  PubMed  CAS  Google Scholar 

  8. Michel-Behnke I, Akintuerk H, Thul J, Bauer J, Hagel KJ, Schranz D (2004) Stent implantation in the ductus arteriosus for pulmonary blood supply in congenital heart disease. Catheter Cardiovasc Interv 61:242–252

    Article  PubMed  Google Scholar 

  9. Rosenthal E, Qureshi SA, Tabatabaie AH et al (1996) Medium-term results of experimental stent implantation into the ductus arteriosus. Am Heart J 132:657–663

    Article  PubMed  CAS  Google Scholar 

  10. Schneider M, Zartner P, Sidiropoulos A, Konertz W, Hausdorf G (1998) Stent implantation of the arterial duct in newborns with duct-dependent circulation. Eur Heart J 19:1401–1409

    Article  PubMed  CAS  Google Scholar 

  11. Sivakumar K, Shivaprakasha K, Rao SG, Kumar RK (2001) Operative outcome and intermediate-term follow-up of neonatal Blalock–Taussig shunts. Indian Heart J 53:66–70

    PubMed  CAS  Google Scholar 

  12. Tamisier D, Vouhe PR, Vermant F, Leca F, Massoat C, Neveux J (1990) Modified Blalock–Taussig shunts: results in infants less than 3 months of age. Ann Thorac Surg 40:797–802

    Article  Google Scholar 

Download references

Acknowledgments

Research Improvement of Shiraz University of Medical Sciences and Ms. Afsaneh Keivanshekouh are appreciated for improving the use of English in the manuscript. Neonatology and the cardiac research center at the Shiraz University of Medical Sciences are acknowledged.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hamid Amoozgar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Amoozgar, H., Cheriki, S., Borzoee, M. et al. Short-Term Result of Ductus Arteriosus Stent Implantation Compared With Surgically Created Shunts. Pediatr Cardiol 33, 1288–1294 (2012). https://doi.org/10.1007/s00246-012-0304-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-012-0304-x

Keywords

Navigation