Consensus Guidelines for the Prevention and Management of Periprocedural Complications of Transcatheter Patent Ductus Arteriosus Closure with the Amplatzer Piccolo Occluder in Extremely Low Birth Weight Infants

Shyam Sathanandam, Dan Gutfinger, Brian Morray, Darren Berman, Matthew Gillespie, Thomas Forbes, Jason N. Johnson, Ruchira Garg, Sophie Malekzadeh-Milani, Alain Fraisse, Osman Baspinar, Evan M. Zahn

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Transcatheter closure of patent ductus arteriosus (PDA) in premature infants is a feasible, safe, and an effective alternative to surgical ligation and may be performed with an implant success rate of 97%. Major procedural complications related to transcatheter PDA closure in extremely low birth weight (ELBW) infants are relatively infrequent (< 3%) ,but may be associated with a fatality if not optimally managed. Operators performing transcatheter PDA closures should be knowledgeable about these potential complications and management options. Prompt recognition and treatment are often necessary to avoid serious consequences. With strict guidelines on operator training, proctoring requirements, and technical refinements, transcatheter PDA closure in ELBW infants can be performed safely with low complication rates. This article summarizes the consensus guidelines put forward by a panel of physicians for the prevention and management of periprocedural complications of transcatheter PDA closure with the Amplatzer Piccolo Occluder in ELBW infants.

Original languageEnglish
Pages (from-to)1258-1274
Number of pages17
JournalPediatric Cardiology
Volume42
Issue number6
DOIs
StatePublished - Aug 2021
Externally publishedYes

Keywords

  • Amplatzer Piccolo Occluder
  • Aortic obstruction
  • Cardiovascular injury
  • Device embolization
  • Device migration
  • Device protrusion
  • Pulmonary artery obstruction
  • Transcatheter PDA closure
  • Tricuspid regurgitation

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