Page 44 - Journal of Structural Heart Disease Volume 4, Issue 3

101 Meeting Abstracts
20. Figure 2.
Learning Points of the Procedure:
I. Sinus venosus type ASD can be transcatheter closed.
Pulmonary vein can be drained between two discs of the septal occlude.
21. OUTCOMES OF TRANSCATHETER CLOSURE OF PATENT DUCTUS ARTERIOSUS IN CHILDREN WEIGHING LESS THAN 6-KILOGRAMS AT THE PHILIPPINE GENERAL HOSPITAL
Jethro Macallan1, Jonas Del Rosario2
1 Philippine General Hospital; Pediatrics Section of Cardiology; Pediatric Cardiology
2 University of the Philippines; St. Luke's Medical Center; Philippine Children's Medical Center
Background: Advancement in the eld of cardiac cath- eterization and interventional cardiology in the form of transcatheter closure (TCC) of patent ductus arteriosus has replaced surgical ligation and/or transection as the primary treatment modality in symptomatic patients with a PDA. Di erent devices from the initial Ivalon plug to the Rashkind double umbrella, Sideris buttoned device, Gianturco coil or Duct-occlud device, and Amplatzer Duct Occluder (ADO) has been developed. Shape and size vari- ability of ductus arteriosus and small patient size neces- sitated development of new devices or modi cations for currently available devices. In the Philippines, there is lim- ited published data on TCC of PDA in children less than six kilograms. For this analysis, outcomes in the form of tech- nical success and occlusion rates as well as complications will be evaluated.
Objective: To determine the outcomes of transcatheter clo- sure of patent ductus arteriosus in patients weighing less than 6 kilograms
Methodology: We conducted a retrospective study of forty ve (45) patients (male 14, female 31; mean age 8 ± 3 months, range 2months to 1 year old; mean weight 5.0 ± 0.78 kilograms, range 3.4 to 5.9 kilograms) with echocar- diographic evidence of PDA underwent transcatheter clo- sure of PDA. Aortic angiogram was performed to evaluate the PDA. A second aortic angiogram was performed after device deployment. Echocardiography was repeated at 24 hours-, 1 month and 6months intervals to assess for occlu- sion and complications.
Results: A total of 45 patients were included in the study. The mean narrowest diameter of PDA was 3.5 ± 1.2mm (range 2mm to 5.6mm). Of the 41 patients with successful
20. Figure 3.
20. Figure 4.
Hijazi, Z
2017 CSI Africa Abstracts