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BibTeX
Initial clinical experience with the Medtronic Micro Vascular Plug™ in transcatheter occlusion of PDAs in extremely premature infants
Catheterization and cardiovascular interventions, 2017-05, Vol.89 (6), p.1051-1058
Sathanandam, Shyam
Justino, Henri
Waller, B. Rush
Radtke, Wolfgang
Qureshi, Athar M.
2017
Details
Autor(en) / Beteiligte
Sathanandam, Shyam
Justino, Henri
Waller, B. Rush
Radtke, Wolfgang
Qureshi, Athar M.
Titel
Initial clinical experience with the Medtronic Micro Vascular Plug™ in transcatheter occlusion of PDAs in extremely premature infants
Ist Teil von
Catheterization and cardiovascular interventions, 2017-05, Vol.89 (6), p.1051-1058
Ort / Verlag
United States: Wiley Subscription Services, Inc
Erscheinungsjahr
2017
Link zum Volltext
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Objectives To describe the early multicenter, clinical experience with the Medtronic Micro Vascular Plug™ (MVP) for the occlusion of patent ductus arteriosus (PDA) in premature infants. Background The MVP is a large diameter plug that can be delivered through a microcatheter for occlusion of abnormal blood vessels. Methods A Retrospective review of PDA embolization procedures performed in two centers using the MVP was performed. Results Fifteen premature infants underwent attempted PDA occlusion using the MVP. The gestational age and birth weight were 25.6 ± 2.5 weeks and 735 ± 251 g, respectively. The median weight and age at the time of the procedure were 1,210 g (700–3,500 g) and 4.5 weeks (2–12 weeks), respectively. Median procedure and fluoroscopy times were 45 and 6.5 min, respectively. The median radiation and contrast doses were 19.7 mGy and 2.4 mL/kg, respectively. Antegrade occlusion was successfully achieved in 13 patients <2 kg with only femoral venous access aided by echo guidance. The two patients >2 kg had arterial access and attempted retrograde occlusion; one of which was unsuccessful due to the PDA being short and wide. Complete closure was observed in 13 of 14 successful procedures (93%), with one patient having a small residual shunt that was not seen on follow‐up. There were no complications related to the procedure or noted during follow‐up (Median 11 months). Conclusions The MVP is a new, large‐diameter vascular embolization device that may be useful for the occlusion of PDA in extremely small, premature infants. © 2016 Wiley Periodicals, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 1522-1946
eISSN: 1522-726X
DOI: 10.1002/ccd.26878
Titel-ID: cdi_proquest_miscellaneous_1844028238
Format
–
Schlagworte
Aortography
,
Birth Weight
,
Blood vessels
,
Cardiac Catheterization - adverse effects
,
Cardiac Catheterization - instrumentation
,
Complications
,
Ductus Arteriosus, Patent - diagnostic imaging
,
Ductus Arteriosus, Patent - physiopathology
,
Ductus Arteriosus, Patent - therapy
,
Early experience
,
Echocardiography, Doppler, Color
,
Embolization
,
Female
,
Femur
,
Fluoroscopy
,
Gestational Age
,
Humans
,
Infant, Extremely Premature
,
Infant, Newborn
,
Infants
,
Male
,
Micro Vascular Plug
,
Occlusion
,
patent ductus arteriosus
,
premature
,
Prosthesis Design
,
Radiation
,
Retrospective Studies
,
Septal Occluder Device
,
Tennessee
,
Texas
,
Time Factors
,
Treatment Outcome
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