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Short‐Term Outcomes of Patent Ductus Arteriosus Closure With New Occlutech® Duct Occluder: A Multicenter Study
Authors:Reyhan Dedeoglu M.D.  Meki Bilici M.D.  Fikri Demir M.D.  Fadli Demir M.D.  Onur Çağlar Acar M.D.  Olgu Hallioglu M.D.  Ayşenur Pac M.D.  Alev Kiziltas M.D.  Duran Karabel M.D.  Serdar Kula M.D.  Derya Cimen M.D.  Osman Baspinar M.D.  Sezen Ugan Atik M.D.  Irfan Levent Saltik M.D.
Affiliation:1. Cerrahpasa Medical Faculty, Department of Pediatric Cardiology, ?stanbul University, Istanbul, Turkey;2. Medical Faculty, Department of Pediatric Cardiology, Dicle University, Diyarbak?r, Turkey;3. Medical Faculty, Department of Pediatric Cardiology, ?ukurova University, Adana, Turkey;4. Derince Training and Research Hospital, Kocaeli, Turkey;5. Medical Faculty, Department of Pediatric Cardiology, Mersin University, Mersin, Turkey;6. Ankara Yüksek ?htisas Training and Research Hospital, Ankara, Turkey;7. Medical Faculty, Department of Pediatric Cardiology, Ba?kent University, Adana, Turkey;8. Medical Faculty, Department of Pediatric Cardiology, Osman Gazi University, Eskisehir, Turkey;9. Medical Faculty, Department of Pediatric Cardiology, Gazi University, Ankara, Turkey;10. Medical Faculty, Department of Pediatric Cardiology, Sel?uk University, Konya, Turkey;11. Medical Faculty, Department of Pediatric Cardiology, Gaziantep University, Gaziantep, Turkey
Abstract:

Aim

Over the past 2 decades, transcatheter occlusion of patent ductus arteriosus (PDA) with coils and the duct occluders evolved to be the procedure of choice. A new device, the Occlutech PDA® occluder (ODO) device has been designed. Herein, we aimed to evaluate the characteristics and short‐term results of patients who underwent transcatheter closure of PDA using the ODO.

Methods

We reviewed the clinical records of 60 patients from different centers in Turkey between December 2013 and January 2016. The medical records were reviewed for demographic characteristics and echocardiographic findings. Device size was selected on the narrowest diameter of PDA.

Results

The median patient age was 2.5 years (6 months–35 years), and median PDA diameter was 2.5 mm (1.2–11 mm). Fifty‐eight of 60 patients (96.6%) had successful ODO implantation. The occlusion rates were 37/58 (63.7%) at the end of the procedure, 51/58 (87.9%) at 24–48 hours post‐procedure, and 57/58 (98.2%) on echocardiography at a median follow‐up of 7.6 months.

Conclusion

Our results indicate that transcatheter closure of PDA using the ODO is effective. Larger studies and longer follow‐up are required to assess whether its shape and longer length make it superior to other duct occluders in large, tubular, or window‐type ducts. (J Interven Cardiol 2016;29:325–331)
Keywords:
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