Can ductus arteriosus morphology influence technique/outcome of stent treatment?
congenital heart disease
cyanosis
ductus arteriosus
ductus arteriosus stent
newborn
Journal
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
ISSN: 1522-726X
Titre abrégé: Catheter Cardiovasc Interv
Pays: United States
ID NLM: 100884139
Informations de publication
Date de publication:
01 05 2020
01 05 2020
Historique:
received:
01
02
2019
revised:
13
12
2019
accepted:
01
01
2020
pubmed:
18
1
2020
medline:
15
12
2020
entrez:
18
1
2020
Statut:
ppublish
Résumé
Results and outcomes of ductus arteriosus stenting vary widely. The aim of this study was to determine whether ductus morphology is associated with different procedural outcome. Over an 18-year period, 123 patients presented with ductal dependent pulmonary blood flow. Results were retrospectively assessed based on radiographic anatomic features of the ductus arteriosus: Group 1: "straight" ductus arteriosus, typically seen in patients with Pulmonary atresia with intact septum (PA-IVS), Group 2: "intermediate" ductus arteriosus as seen in severe pulmonary stenosis (PS)-single ventricle, Group 3: "vertical" ductus arteriosus typically seen in patients with pulmonary atresia-ventricular septal defect, Group 4: ductus arteriosus arising from the aorta to a single lung, Group 5: ductus arteriosus arising from the innominate/subclavian artery to a single lung, Group 6: ductus arteriosus from innominate/subclavian artery to both lungs. Ductal stenting (DS) was attempted in 98 patients with 99 ducts. Successful stenting was possible in 83 patients. Success of DS was significantly different among the groups (p = .04, F = 5.41). Groups 1, 4, and 5 were "easy" with good success while Groups 2, 3, and 6 were complex and demanding. There were two deaths (after 5 and 7 days, respectively) that could be ascribed to DS. Elective re-interventions were performed in 34 ductuses (40%). Fifty three percent (n = 44/83) of successful ductus stents proceeded to further surgery and 20 ducts closed spontaneously in asymptomatic patients over time. Ductus arteriosus morphology influences technique and determines complexity, safety, and final outcome of ductus arteriosus stenting.
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1149-1157Informations de copyright
© 2020 Wiley Periodicals, Inc.
Références
Gewillig M, Boshoff DE, Dens J, Mertens L, Benson LN. Stenting the neonatal arterial duct in duct-dependent pulmonary circulation: new techniques, better results. J Am Coll Cardiol. 2004;43(1):107-112. https://doi.org/10.1016/j.jacc.2003.08.029.
Boshoff DE, Michel-Behnke I, Schranz DGM. Stenting the neonatal arterial duct. Expert Rev Cardiovasc Ther. 2007;5:893-901. https://doi.org/10.1586/14779072.5.5.893.
Alwi M, Choo KK, Latiff HA, Kandavello G, Samion H, Mulyadi MD. Initial results and medium-term follow-up of stent implantation of patent ductus arteriosus in duct-dependent pulmonary circulation. J Am Coll Cardiol. 2004;44(2):438-445. https://doi.org/10.1016/j.jacc.2004.03.066.
Bentham JR, Zava NK, Harrison WJ, et al. Duct stenting versus modified Blalock-Taussig shunt in neonates with duct-dependent pulmonary blood flow: associations with clinical outcomes in a multicenter national study. Circulation. 2018;137(6):581-588. https://doi.org/10.1161/CIRCULATIONAHA.117.028972.
Glatz AC, Petit CJ, Kelleman MS, et al. Comparison between patent ductus arteriosus stent and modified Blalock-Taussig shunt for infants with ductal-dependent pulmonary blood flow. Circulation. 2018;137:589-601. https://doi.org/10.1161/CIRCULATIONAHA.
Benson L, Van AG. Comparisons between ductal stenting and Blalock-Taussig shunts for infants with ductal-dependent pulmonary circulation. Circulation. 2018;137(6):602-604. https://doi.org/10.1161/CIRCULATIONAHA.117.031998.
Schranz D, Michel-Behnke I, Heyer R, et al. Stent implantation of the arterial duct in newborns with a truly duct-dependent pulmonary circulation: a single-center experience with emphasis on aspects of the interventional technique. J Interv Cardiol. 2010;23(6):581-588. https://doi.org/10.1111/j.1540-8183.2010.00576.x.
McMullan DM, Permut LC, Jones TK, Johnston TA, Rubio AE. Modified Blalock-Taussig shunt versus ductal stenting for palliation of cardiac lesions with inadequate pulmonary blood flow. J Thorac Cardiovasc Surg. 2014;147(1):397-403. https://doi.org/10.1016/j.jtcvs.2013.07.052.
Udink Ten Cate FEA, Sreeram N, Hamza H, Agha H, Rosenthal E, Qureshi SA. Stenting the arterial duct in neonates and infants with congenital heart disease and duct-dependent pulmonary blood flow: a multicenter experience of an evolving therapy over 18 years. Catheter Cardiovasc Interv. 2013;82(3):E233-E243. https://doi.org/10.1002/ccd.24878.
Santoro G, Gaio G, Capozzi G, et al. Fate of Hypoplastic pulmonary arteries after arterial duct stenting in congenital heart disease with duct-dependent pulmonary circulation. JACC Cardiovasc Interv. 2015;8(12):1626-1632. https://doi.org/10.1016/j.jcin.2015.05.027.
Santoro G, Gaio G, Giugno L, et al. Ten-years, single-center experience with arterial duct stenting in duct-dependent pulmonary circulation: early results, learning-curve changes, and mid-term outcome. Catheter Cardiovasc Interv. 2015;86(2):249-257. https://doi.org/10.1002/ccd.25949.
Abrams SE, Walsh KP. Arterial duct morphology with reference to angioplasty and stenting. Int J Cardiol. 1993;40(1):27-33. https://doi.org/10.1016/0167-5273(93)90227-8.
Garg G, Mittal DK. Stenting of patent ductus arteriosus in low birth weight newborns less than 2 kg- procedural safety, feasibility and results in a retrospective study. Indian Heart J. 2018;70(5):709-712. https://doi.org/10.1016/j.ihj.2018.01.027.
Recto MR, Doyle S, Guerra VC, Gui Yang S, Yeh T. Morphology of the patent ductus arteriosus does not preclude successful patent ductus arteriosus stent implantation in high-risk patients undergoing hybrid stage I palliation: recommendations to optimize ductal stent positioning. Catheter Cardiovasc Interv. 2013;82(4):519-525. https://doi.org/10.1002/ccd.25019.
Polat TB. Stenting the vertical ductus arteriosus via axillary artery access using “wire-target” technique. Congenit Heart Dis. 2017;12(6):800-807. https://doi.org/10.1111/chd.12512.
Matter M, Almarsafawey H, Hafez M, Attia G, Abuelkheir MM. Patent ductus arteriosus stenting in complex congenital heart disease: early and midterm results for a single-center experience at children hospital, Mansoura, Egypt. Pediatr Cardiol. 2013;34(5):1100-1106. https://doi.org/10.1007/s00246-012-0608-x.
Roggen M, Rega F, Gewillig M. Short-cut under pressure: stenting the tortuous neonatal duct involves induced spasm. JACC Cardiovasc Interv. 2012;5(8):e25-e26. https://doi.org/10.1016/j.jcin.2012.03.025.
Qureshi AM, Goldstein BH, Glatz AC, et al. Classification scheme for ductal morphology in cyanotic patients with ductal dependent pulmonary blood flow and association with outcomes of patent ductus arteriosus stenting. Catheter Cardiovasc Interv. 2019;93:933-943. https://doi.org/10.1002/ccd.28125.
Gewillig M, Brown SC, Heying R, et al. Volume load paradox while preparing for the Fontan: not too much for the ventricle, not too little for the lungs. Interact Cardiovasc Thorac Surg. 2010;10(2):262-265. https://doi.org/10.1510/icvts.2009.218586.
JR B. Response by Bentham to letter regarding article “duct stenting versus modified Blalock-taussig shunt in neonates with duct-dependent pulmonaru blood flow: associations with clinical outcomes in a multicenter national study”. Circulation. 2018;138:434-435.
Brown SC, Boshof DE, Heying R, et al. Stent expansion of stretch Gore-Tex grafts in chhildren with congenital heart lesions. Catheter Cardiovasc Interv. 2010;75:843-848.
Wessel DL, Berger F, Li JS, et al. Clopidogrel in infants with systemic-to-pulmonary-artery shunts. N Engl J Med. 2013;368(25):2377-2384. https://doi.org/10.1056/NEJMoa1114588.
Sasikumar N, Hermuzi A, Fan CPS, et al. Outcomes of Blalock-Taussig shunts in current era: a single center experience. Congenit Heart Dis. 2017;12(6):808-814. https://doi.org/10.1111/chd.12516.
O'Connor MJ, Ravishankar C, Ballweg JA, et al. Early systemic-to-pulmonary artery shunt intervention in neonates with congenital heart disease. J Thorac Cardiovasc Surg. 2011;142(1):106-112. https://doi.org/10.1016/j.jtcvs.2010.10.033.