Abstract
Stenting the patent ductus arteriosus is an old procedure which only lately has shown its advantages at its highest potential. Objective – To apprehend the arterial duct stenting procedure, its history, change over time and present usefulness and technique. Methods and results – We present the fi rst two cases of stent implantation in a persistent ductus arteriosus performed in our institution and a short review of the literature on this subject, connecting our small experience to that of other centers. Conclusions – Stent implantation in the ductus arteriosus is of great help in knowledgeable hands and minds. While it needs a learning curve, careful preparation before introducing it in the daily practice of a cardiovascular center is essential.
Highlights
Surgical possibilities for palliative or stepwise treatment of cyanotic congenital heart diseases haven’t changed very much since Blalock and Taussig performed the first systemic- to- pulmonary shunt, in the 1940’s
There are 3 major groups of diseases that can benefit from stenting the persistent ductus arteriosus (PDA): 1. cyanotic congenital heart diseases (cCHD) with duct-dependent pulmonary circulation
We present the first two cases of PDA stenting performed in our clinic, discussed in the context of
Summary
Surgical possibilities for palliative or stepwise treatment of cyanotic congenital heart diseases (cCHD) haven’t changed very much since Blalock and Taussig performed the first systemic- to- pulmonary shunt, in the 1940’s. Interventional cardiology has followed in the steps of surgery, seeking for its own methods. 2. cCHD with duct-dependent systemic circulation 3. Idiopathic pulmonary arterial hypertension (idiopathic aPHT) Stenting the PDA is a complex procedure, needing a learning curve and a very careful case selection. For a catheterization laboratory with a limited choice of available materials, this procedure has to be planned and implemented stepwise, from case selection, careful preprocedural planning of the intervention under all aspects (anesthesia and intensive care, vascular access, technique), to postprocedural follow-up. We present the first two cases of PDA stenting performed in our clinic, discussed in the context of Contact address: Romanian Journal of Cardiology Vol 30, No 3, 2020
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