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

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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.	中华医学会心血管病分会结构性心脏病学组, 中国医师协会心血管内科医师分会结构性心脏病专业委员会. 中国动脉导管未闭介入治疗指南2017. 中国介入心脏病学杂志, 2017, 25(5): 241-248.
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4.	刘瑞生, 形旺, 孙伟, 等. 经胸小切口封堵术治疗粗大动脉导管未闭. 中国微创外科杂志, 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.	杨滔, 欧阳文斌, 赵广智, 等. 单纯经胸超声心动图引导下行经皮卵圆孔未闭封堵术的临床研究. 中国循环杂志, 2019, 34(1): 77-80.
7.	孙保, 程端, 李波, 等. 超声引导下经皮逆行法封堵未闭动脉导管的有效性和安全性. 中国胸心血管外科临床杂志, 2019, 26(12): 1208-1212.
8.	张丽, 韩波, 方晓娟, 等. 超声心动图与心导管检查测量动脉导管未闭最窄内径的对比研究. 中国介入心脏病学杂志, 2018, 26(9): 523-527.
9.	凌雁, 郭保静, 王志远, 等. X 线透视下直接经皮股静脉途径封堵未闭动脉导管的临床研究. 中国循环杂志, 2020, 35(1): 67-71.
10.	苏振扬, 张浩, 张海锋, 等. 经桡动脉入路行动脉导管未闭介入封堵术的临床应用. 南京医科大学学报, 2019, 39(12): 1799-1829.

1. 中华医学会心血管病分会结构性心脏病学组, 中国医师协会心血管内科医师分会结构性心脏病专业委员会. 中国动脉导管未闭介入治疗指南2017. 中国介入心脏病学杂志, 2017, 25(5): 241-248.
2. 周天津, 罗亚玲, 周雪晴, 等. 介入封堵术和外科手术治疗中国大陆人群动脉导管未闭的meta分析. 中国介入影像与治疗学, 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. 刘瑞生, 形旺, 孙伟, 等. 经胸小切口封堵术治疗粗大动脉导管未闭. 中国微创外科杂志, 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. 杨滔, 欧阳文斌, 赵广智, 等. 单纯经胸超声心动图引导下行经皮卵圆孔未闭封堵术的临床研究. 中国循环杂志, 2019, 34(1): 77-80.
7. 孙保, 程端, 李波, 等. 超声引导下经皮逆行法封堵未闭动脉导管的有效性和安全性. 中国胸心血管外科临床杂志, 2019, 26(12): 1208-1212.
8. 张丽, 韩波, 方晓娟, 等. 超声心动图与心导管检查测量动脉导管未闭最窄内径的对比研究. 中国介入心脏病学杂志, 2018, 26(9): 523-527.
9. 凌雁, 郭保静, 王志远, 等. X 线透视下直接经皮股静脉途径封堵未闭动脉导管的临床研究. 中国循环杂志, 2020, 35(1): 67-71.
10. 苏振扬, 张浩, 张海锋, 等. 经桡动脉入路行动脉导管未闭介入封堵术的临床应用. 南京医科大学学报, 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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