Author/Editor     Česen, M; Berden, P; Podnar, T
Title     Perkutano zapiranje odprtega Botallovega voda z Amplatzovim duktusnim zapiralom
Translated title     Percutaneous closure of patent ductus arteriosus using Amplatzer duct occluder
Type     članek
Source     Slov Pediatr
Vol. and No.     Letnik 14, št. 1
Publication year     2007
Volume     str. 6-12
Language     slo
Abstract     Background: Transcatheter closure of patent ductus arteriosus is becoming an increasingly widespread alternative to surgical management. Methods: Between December 2000 and October 2006 39 patients underwent percutaneous closure of patent ductus arteriosus using the Amplatzer duct occluder. All patients were included in this study, which was performed with the aim of evaluating the safety and effectiveness of the method. Results: The patients' ages at the time of the procedure ranged from 1 to 69 years (median 5.5 years). The median PDA diameter was 3 mm (range 1.5 to 10 mm). Transthoracic echocardiogram performed 24 hours after the procedure confirmed complete closure in all patients. The follow-up period ranged from 0.1 to 5.8 years (median 2.8 years). During the procedure and follow-up there were no serious complications or deaths. Conclusions: The results of this study confine that transcatheter closure of patent ductus arteriosus using the
Summary     Izhodišče: Katetersko zapiranje odprtega Botallovega voda z uporabo Amplatzovega duktusnega zapirala se vse bolj uveljavlja kot nadomestilo kirurškemu zdravljenju. Metode: Med decembrom 2000 in oktobrom 2006 smo pri 39 bolnikih opravili perkutano zaprtje odprtega Botallovega voda z Amplatzovim duktusnim zapiralom. Vsi bolniki so bili uvrščeni v študijo, s katero smo želeli preveriti varnost in učinkovitost metode. Rezultati: Starost bolnikov v času posega je bila od 1 do 69 let (mediana 5,5 let). Mediani premer odprtega Botallovega voda je bil 3 mm (razpon 1,5 do 10 mm). Transtorakalni ehokardiogram je 24 ur po posegu potrdil popolno zaprtje odprtega Botallovega voda pri vseh bolnikih. Sledenje bolnikov po posegu je trajalo od 0,1 do 5,8 let (mediana 2,8 let). Med posegom in v času sledenja ni bilo resnih zapletov ali smrti. Zaključek: Rezultati naše študije potrjujejo, da je postopek zapiranja odprtega Botallovega voda z Amplatzovim duktusnim zapiralom varen in učinkovit.
Descriptors     DUCTUS ARTERIOSUS, PATENT
HEART CATHETERIZATION
ECHOCARDIOGRAPHY
IMPLANTS, ARTIFICIAL
AORTOGRAPHY
LIGATION