Single center experience of PDA stent In Saudi Arabia

Abstract

Background Transcatheter PDA stenting is considered now as amodality to improve the pulmonary blood flow, as an alternative to surgical aortopulmonary shunt in selected patients who are suitable for the procedure. Method Between Jan 2005 to May 2011, 87 patients underwent PDA stenting in PSCC after full assessment by echocardiogram and angiogram 41 patients (47%) patient have PA & VSD 25 of them with 2 ventricles and the remaining 16 with single ventricle morphology, 22 (25%) patients have TOF, 24 patients (28%) have PA & IVS, 11 patients have Laser wire /RF perforation of the pulmonary valve same time. Median age is 8 days, median weight is 3.2 kg, and procedure is prograde or retrograde. Result Mean ventilatory support is 2 days, median hospital stay is 4 days, median saturation is 79%, median follow up is 45 mo, median floroscopy time is 17.6 min (7.7–43 min), 6 (6.8%) of them has NEC first few days post stenting, 3 (3.4%) has stent migration, 4 (4.6%) lost follow up, 2 (2.2%) deaths, compairing tomatching patients underwent MBT , the result is better. Conclusion We conclude that PDA stenting is a safe and alternative procedure surgical aortopulomnary shunt.