Long-term follow-up is not indicated after routine interventional closure of persistent arterial ducts
Background Little is known about the necessity for long‐term follow‐up after interventional closure of persistent arterial duct (PDA). Potential side effects and complications include residual shunts, haemolysis, device embolization, and obstruction to flow in the adjoining vessels. Methods Single c...
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Published in | Catheterization and cardiovascular interventions Vol. 86; no. 1; pp. 100 - 104 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Blackwell Publishing Ltd
01.07.2015
Wiley Subscription Services, Inc |
Subjects | |
Online Access | Get full text |
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Summary: | Background
Little is known about the necessity for long‐term follow‐up after interventional closure of persistent arterial duct (PDA). Potential side effects and complications include residual shunts, haemolysis, device embolization, and obstruction to flow in the adjoining vessels.
Methods
Single centre retrospective study of paediatric patients undergoing interventional PDA occlusion.
Results
315 patients who underwent interventional occlusion of a PDA between November 2002 and September 2013 were included. Of these, eight needed re‐intervention (three for device embolization, five for residual shunt). Seven had mild obstruction to flow in the adjoining vessels, but did not require any intervention. All sequelae were found latest at the first follow‐up appointment after the procedure (usually within 3 months); whilst none developed during further follow‐up.
Conclusion
Complications of interventional closure of PDA were apparent immediately after the procedure or by three months of follow‐up. Long‐term follow‐up is not indicated in cases when no complications are seen early after the procedure. © 2015 Wiley Periodicals, Inc. |
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Bibliography: | ark:/67375/WNG-448LZC49-P ArticleID:CCD25912 istex:681F0FBA25E7E45CCBAD5B3EFBF5F25BCDF7C5B3 Conflict of interest: Nothing to report. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1522-1946 1522-726X |
DOI: | 10.1002/ccd.25912 |