Transcatheter closure of patent ductus arteriosus: Past, present and future

Alban Elouen Baruteau, Sébastien Hascoët, Julien Baruteau, Younes Boudjemline, Virginie Lambert, Claude Yves Angel, Emre Belli, Jérôme Petit, Robert Pass

Research output: Contribution to journalReview articlepeer-review

116 Scopus citations

Abstract

Summary This review aims to describe the past history, present techniques and future directions in transcatheter treatment of patent ductus arteriosus (PDA). Transcatheter PDA closure is the standard of care in most cases and PDA closure is indicated in any patient with signs of left ventricular volume overload due to a ductus. In cases of left-to-right PDA with severe pulmonary arterial hypertension, closure may be performed under specific conditions. The management of clinically silent or very tiny PDAs remains highly controversial. Techniques have evolved and the transcatheter approach to PDA closure is now feasible and safe with current devices. Coils and the Amplatzer Duct Occluder are used most frequently for PDA closure worldwide, with a high occlusion rate and few complications. Transcatheter PDA closure in preterm or low-bodyweight infants remains a highly challenging procedure and further device and catheter design development is indicated before transcatheter closure is the treatment of choice in this delicate patient population. The evolution of transcatheter PDA closure from just 40 years ago with 18 F sheaths to device delivery via a 3 F sheath is remarkable and it is anticipated that further improvements will result in better safety and efficacy of transcatheter PDA closure techniques.

Original languageEnglish
Pages (from-to)122-132
Number of pages11
JournalArchives of Cardiovascular Diseases
Volume107
Issue number2
DOIs
StatePublished - Feb 2014
Externally publishedYes

Keywords

  • Grown-up congenital heart disease
  • Paediatric cardiology
  • Patent ductus arteriosus
  • Percutaneous closure
  • Pulmonary hypertension

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