Early experience with the Micro Plug Set for preterm patent ductus arteriosus closure. Issue 7 (26th September 2020)

• Record Type: Journal Article
• Authors: Heyden, Caitlin M.; El‐Said, Howaida G.; Moore, John W.; Guyon, Peter W.; Katheria, Anup C.; Ratnayaka, Kanishka
• Is Part Of: Catheterization and cardiovascular interventions. Volume 96:Issue 7(2020)
• Page Start: 1439
• Page End: 1444
• Publication Date: 2020-09-26
• Subjects: cardiac catheterization -- congenital heart disease -- patent ductus arteriosus -- premature neonate -- preterm infant -- vascular occlusion; Heart -- Diseases -- Diagnosis -- Periodicals; Cardiac catheterization -- Periodicals; 616.1207572
• DOI: 10.1002/ccd.29298
• Languages: English
• ISSNs: 1522-1946

Abstract

Abstract: Objectives: We intend to describe early experience using a new, commercially available Micro Plug Set for preterm neonate and infant transcatheter patent ductus arteriosus (PDA) occlusion. Background: Transcatheter PDA occlusion in premature neonates and small infants is safe and effective. The procedure is early in its evolution. Methods: Procedural and short‐term outcomes of preterm neonates and infants undergoing transcatheter PDA occlusion with a new, commercially available device were reviewed. Results: Eight preterm neonates and infants born at median 27 weeks gestation (23–36 weeks) underwent transcatheter PDA device closure with the Micro Plug Set. The device is short (2.5 mm) with a range of diameters (3, 4, 5, 6 mm) and delivered through a microcatheter. Procedures were performed at median 41 days of age (12–88 days) and at 1690 g (760–3, 310 g). Transvenous PDA device occlusion was performed with fluoroscopic and echocardiography guidance. All procedures were successful with complete PDA occlusion. There were no procedural or short‐term adverse events. Conclusions: Preterm neonate and infant transcatheter PDA device closure with a new, commercially available short and microcatheter delivered device (Micro Plug Set) was safe and effective in a small, early series of patients.