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Advances in Pediatric Ductal Intervention: an Open or Shut Case?

  • Congenital Heart Disease (RA Krasuski, Section Editor)
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Abstract

Purpose of Review

To review the most recent literature on pediatric transcatheter ductal intervention including ductus arteriosus occlusion and stenting.

Recent Findings

With the development and FDA approval of smaller ductal devices, including most recently the Amplatzer Piccolo Occluder (Abbott, Abbott Park, IL), transcatheter ductus arteriosus device closure is now being safely performed in premature infants and patients < 6 kg using a transvenous approach. In patients with ductus-dependent pulmonary blood flow, ductal stenting with pre-mounted coronary artery stents has been shown to be an acceptable alternative to the surgically placed Blalock-Taussig shunt. Centers with experience in ductal stenting have demonstrated success, even with the tortuous ductus.

Summary

Innovation in transcatheter device technology and procedural practices have allowed for significant advances. Transcatheter ductal device closure is a reasonable alternative to surgical ligation even in premature, low-birthweight infants. Ductal stenting is also an accepted alternative to the modified Blalock-Taussig shunt. We anticipate continued advancement and procedural refinement over the next several years.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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  1. The Lillie Frank Abercrombie Section of Cardiology, Texas Children’s Hospital, Baylor College of Medicine, 6651 Main Street, E 1920, Houston, TX, 77030, USA

    Lindsay Eilers & Athar M. Qureshi

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  1. Lindsay Eilers
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Correspondence to Athar M. Qureshi.

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Lindsay Eilers declares no conflict of interest.

Athar M. Qureshi reports personal fees from W. L. Gore and Associates, and from Edwards Lifesciences.

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Eilers, L., Qureshi, A.M. Advances in Pediatric Ductal Intervention: an Open or Shut Case?. Curr Cardiol Rep 22, 14 (2020). https://doi.org/10.1007/s11886-020-1266-x

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