Treatment of patent ductus arteriosus via ultrasound-guided percutaneous antegrade or retrograde access: A retrospective cohort study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

SUN Bao ¹ ,  CHENG Duan ¹ , LI Bo ² , HE Guibao ¹ , WANG Haifeng ¹ , Ahati ? ¹ , Elias ? ¹ , SHENG Xi ¹ , LI Jinpeng ¹

1. Department of Cardiac Surgery, Xinjiang Cardiovascular and Cerebrovascular Disease Hospital, Urumqi, 830011, P. R. China;
2. Department of Ultrasound, Xinjiang Cardiovascular and Cerebrovascular Disease Hospital, Urumqi, 830011, P. R. China;

Corresponding?author：

CHENG Duan, Email: chengduan@126.com

Keywords：

Patent ductus arteriosus; antegrade access; retrograde access; echocardiography

DOI：

10.7507/1007-4848.202010020

Video：

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Objective To compare the surgical results of ultrasound-guided percutaneous antegrade or retrograde therapy in the treatment of patent ductus arteriosus.Methods The clinical data of 166 patients (44 males and 122 females) who underwent transthoracic echocardiography guided closure of patent ductus arteriosus in Xinjiang Cardiovascular and Cerebrovascular Disease Hospital from February 2016 to August 2020 were retrospectively analyzed, and the patients were divided into two groups: an antegrade group (n=60) and a retrograde group (n=106). The operation time, success rate, bed rest time, postoperative complications and surgical safety were compared between the two groups.Results The immediate success rate of the two groups was 100.0%. Compared with the retrograde group, the antegrade group had shorter time of bed rest and hospital stay, but longer operation time. In the retrograde group, there were 2 patients of complications, including occlusive device falling off to pulmonary artery 12 hours after the operation in 1 patient, and false arterial tumor in 1 patient. Both groups were followed up for 3-18 months, and there was no death in the whole group.Conclusion It is safe and effective to block patent ductus arteriosus under the guidance of transthoracic echocardiography. Although the operation process of anterior occlusion of patent ductus arteriosus is slightly complex and the operation time is long, the indication is wide, and the bed rest time is short. Therefore it can be used as the first choice for patent ductus arteriosus occlusion.

Citation： SUN Bao, CHENG Duan, LI Bo, HE Guibao, WANG Haifeng, Ahati ?, Elias ?, SHENG Xi, LI Jinpeng. Treatment of patent ductus arteriosus via ultrasound-guided percutaneous antegrade or retrograde access: A retrospective cohort study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(8): 1020-1023. doi: 10.7507/1007-4848.202010020 Copy

1.	中華醫學會心血管病分會結構性心臟病學組, 中國醫師協會心血管內科醫師分會結構性心臟病專業委員會. 中國動脈導管未閉介入治療指南2017. 中國介入心臟病學雜志, 2017, 25(5): 241-248.
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4.	劉瑞生, 形旺, 孫偉, 等. 經胸小切口封堵術治療粗大動脈導管未閉. 中國微創外科雜志, 2015, 15(9): 843-845.
5.	Harbron RW, Chapple CL, O, Sullivan JJ, et al. Survival adjusted cancer risks attributable to radiation exposure from cardiac catheterisations in children. Heart, 2017, 103(5): 341-346.
6.	楊滔, 歐陽文斌, 趙廣智, 等. 單純經胸超聲心動圖引導下行經皮卵圓孔未閉封堵術的臨床研究. 中國循環雜志, 2019, 34(1): 77-80.
7.	孫保, 程端, 李波, 等. 超聲引導下經皮逆行法封堵未閉動脈導管的有效性和安全性. 中國胸心血管外科臨床雜志, 2019, 26(12): 1208-1212.
8.	張麗, 韓波, 方曉娟, 等. 超聲心動圖與心導管檢查測量動脈導管未閉最窄內徑的對比研究. 中國介入心臟病學雜志, 2018, 26(9): 523-527.
9.	凌雁, 郭保靜, 王志遠, 等. X 線透視下直接經皮股靜脈途徑封堵未閉動脈導管的臨床研究. 中國循環雜志, 2020, 35(1): 67-71.
10.	蘇振揚, 張浩, 張海鋒, 等. 經橈動脈入路行動脈導管未閉介入封堵術的臨床應用. 南京醫科大學學報, 2019, 39(12): 1799-1829.

1. 中華醫學會心血管病分會結構性心臟病學組, 中國醫師協會心血管內科醫師分會結構性心臟病專業委員會. 中國動脈導管未閉介入治療指南2017. 中國介入心臟病學雜志, 2017, 25(5): 241-248.
2. 周天津, 羅亞玲, 周雪晴, 等. 介入封堵術和外科手術治療中國大陸人群動脈導管未閉的meta分析. 中國介入影像與治療學, 2016, 13(3): 129-133.
3. Dedeoglu R, Bilici M, Demir F, et al. Short-term outcomes of patent ductus arteriosus closure with new occlutech^? duct occluder: A multicenter study. J Interv Cardiol, 2016, 29(3): 325-331.
4. 劉瑞生, 形旺, 孫偉, 等. 經胸小切口封堵術治療粗大動脈導管未閉. 中國微創外科雜志, 2015, 15(9): 843-845.
5. Harbron RW, Chapple CL, O, Sullivan JJ, et al. Survival adjusted cancer risks attributable to radiation exposure from cardiac catheterisations in children. Heart, 2017, 103(5): 341-346.
6. 楊滔, 歐陽文斌, 趙廣智, 等. 單純經胸超聲心動圖引導下行經皮卵圓孔未閉封堵術的臨床研究. 中國循環雜志, 2019, 34(1): 77-80.
7. 孫保, 程端, 李波, 等. 超聲引導下經皮逆行法封堵未閉動脈導管的有效性和安全性. 中國胸心血管外科臨床雜志, 2019, 26(12): 1208-1212.
8. 張麗, 韓波, 方曉娟, 等. 超聲心動圖與心導管檢查測量動脈導管未閉最窄內徑的對比研究. 中國介入心臟病學雜志, 2018, 26(9): 523-527.
9. 凌雁, 郭保靜, 王志遠, 等. X 線透視下直接經皮股靜脈途徑封堵未閉動脈導管的臨床研究. 中國循環雜志, 2020, 35(1): 67-71.
10. 蘇振揚, 張浩, 張海鋒, 等. 經橈動脈入路行動脈導管未閉介入封堵術的臨床應用. 南京醫科大學學報, 2019, 39(12): 1799-1829.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Treatment of patent ductus arteriosus via ultrasound-guided percutaneous antegrade or retrograde access: A retrospective cohort study

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