Patent Ductus Arteriosus Occlusion in Premature Infants

Interv Cardiol Clin. 2024 Jul;13(3):355-368. doi: 10.1016/j.iccl.2024.02.001. Epub 2024 Mar 19.

Abstract

Transcatheter ductal closure has proven to be safe and effective to occlude the patent ductus arteriosus (PDA) in premature infants. We have developed a robust multidisciplinary PDA program. After gaining experience performing transcatheter ductal closure in the cardiac catheterization laboratory, we transitioned to performing the procedure at the patient's bedside in the neonatal intensive care unit using echocardiographic guidance. The bedside approach has the potential to expand this therapy to patients who currently undergo expectant PDA management because of lack of availability of this therapy, and allow for earlier referral, which will reduce time of exposure to this pathologic shunt.

Keywords: Bedside procedure; NICU; PDA; Prematurity; Transcatheter PDA closure.

Publication types

  • Review

MeSH terms

  • Cardiac Catheterization* / methods
  • Ductus Arteriosus, Patent* / diagnosis
  • Ductus Arteriosus, Patent* / surgery
  • Echocardiography / methods
  • Humans
  • Infant, Newborn
  • Infant, Premature*
  • Septal Occluder Device