Wprowadzenie cewnika techniką retrograde i zamknięcie przetrwałego przewodu tętniczego techniką antegrade za pomocą urządzenia Coccoon Duct Occluder u 6-miesięcznego dziecka

Abstract

Patent ductus arteriosus (PDA) accounts for up to 10% of all congenital heart disease. Transcatheter closure of PDAs has now become treatment of choice replacing surgery. It is simple, consisting of placement of device or vascular occlusion coils either antegrade from femoral vein or retrograde from femoral artery. Here we report a patient of PDA with vascular anatomy too difficult to be antegradely approached and were closed by a retrograde wiring and antegrade snaring using a customised snare. Then device was deployed by usual antegrade approach over snared wire. This retrograde wire-assisted technique and antegrade snaring could be utilized to overcome PDA of difficult vascular anatomy, which could not be easily fulfilled by conventional antegrade venous approach alone.