Results of the Combined U.S. Multicenter Pivotal Study and the Continuing Access Study of the Nit-Occlud PDA Device for Percutaneous Closure of Patent Ductus Arteriosus

• Published in: JACC. Cardiovascular interventions Vol. 7; no. 12; pp. 1430 - 1436
• Main Authors: Moore, John W., MD, MPH, Greene, Jessica, BS, Palomares, Salvadore, Javois, Alexander, MD, Owada, Carl Y., MD, Cheatham, John P., MD, Hoyer, Mark H., MD, Jones, Thomas K., MD, Levi, Daniel S., MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2014
• Subjects: Adolescent; Alloys; Cardiac Catheterization - adverse effects; Cardiac Catheterization - instrumentation; Cardiovascular; Child; Child, Preschool; coil; Ductus Arteriosus, Patent - diagnosis; Ductus Arteriosus, Patent - therapy; Female; Humans; Infant; Male; occluder device; patent ductus arteriosus; Prospective Studies; Prosthesis Design; Risk Factors; Time Factors; Treatment Outcome; United States; Young Adult; coil; FDA; OPC; AE; U.S. Food and Drug Administration; patent ductus arteriosus; adverse event(s); patent ductus arteriosus (arteriosi); PDA; occluder device; objective performance criteria
• ISSN: 1936-8798; 1876-7605
• DOI: 10.1016/j.jcin.2014.06.019

Abstract Objectives This study aimed to compare the efficacy and safety of the Nit-Occlud PDA device (PFM Medical, Cologne, Germany) to benchmarks designed as objective performance criteria (OPC). Background The Nit-Occlud PDA is a nitinol coil-type patent ductus arteriosus (PDA) occluder with a reverse cone configuration, which is implanted using a controlled delivery system. Methods Patients with <4-mm minimum diameter PDA were prospectively enrolled in the Pivotal and the Continuing Access Studies from 15 sites in the United States and were followed up for 12 months post-procedure. Investigator-reported outcomes were compared to OPC including a composite success criterion, efficacy criteria of successful closure (clinical and echocardiographic), and safety criteria incidence of adverse events (serious and of total). Results The Pivotal Study enrolled patients between November 1, 2002 and October 31, 2005, and the Continuing Access Study enrolled additional patients between September 1, 2006 and October 31, 2007. A total of 357 patients were enrolled, and 347 had successful device implantations. After 12 months, 96.8% had complete echocardiographic closure (OPC = 85%) and 98.1% had clinical closure (OPC = 95%). There were no deaths or serious adverse events (OPC = 1%). The total adverse event rate was 4.7% (OPC = 6%). Composite success was 95.1% in the study patients (OPC = 80%). Conclusions Closure of small- and medium-sized PDA with the Nit-Occlud PDA is effective and safe when compared with OPC.