Table of Content

Open Access iconOpen Access

ARTICLE

Stenting the vertical ductus arteriosus via axillary artery access using “wire-target” technique

Tugcin Bora Polat

Department of Pediatric Cardiology, Kemerburgaz University School of Medicine, Istanbul, Turkey

* Corresponding Author: Tugcin Bora Polat, Department of Pediatric Cardiology, Kemerburgaz University School of Medicine, Istanbul, Turkey. Email: email

Congenital Heart Disease 2017, 12(6), 800-807. https://doi.org/10.1111/chd.12512

Abstract

Objectives: To retrospectively review the outcome of stent placement in neonates with a vertical ductus, present a technique of ductal stenting via the axillary artery and compare it to ductal stening via the femoral venous access.
Design: Nineteen patients with duct-dependent pulmonary circulations through a vertical ductus arteriosus were treated with stent implantation. Those patients were retrospectively included in the study. In the first nine of these cases, stent delivery was done transvenously. In the latter ten cases, we favored the axillary artery access to the transvenous approach for stenting the vertical ductus arteriosus. Wire-target technique was used to attain access to axillary artery.
Results: PDA stenting was successful in six out of nine cases in whom the procedure was done anterogradely via the femoral vein and in all cases in whom the procedure was done via axillary artery (P = .047). Wire-target technique was used successfully in all ten cases in whom the procedure was done via axillary artery. Fluoroscopy time and total procedure time were significantly shorter in patients in whom the procedure was done via axillary artery (P < .001)
Conclusions: Stenting of a vertical ductus arteriosus via the axillary artery using wire-target technique is feasible and safe in selected patients

Keywords


Cite This Article

APA Style
Polat
, T.B. (2017). Stenting the vertical ductus arteriosus via axillary artery access using “wire-target” technique. Congenital Heart Disease, 12(6), 800-807. https://doi.org/10.1111/chd.12512
Vancouver Style
Polat
TB. Stenting the vertical ductus arteriosus via axillary artery access using “wire-target” technique. Congeni Heart Dis. 2017;12(6):800-807 https://doi.org/10.1111/chd.12512
IEEE Style
T.B. Polat
, "Stenting the vertical ductus arteriosus via axillary artery access using “wire-target” technique," Congeni. Heart Dis., vol. 12, no. 6, pp. 800-807. 2017. https://doi.org/10.1111/chd.12512



cc This work is licensed under a Creative Commons Attribution 4.0 International License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 1229

    View

  • 1005

    Download

  • 0

    Like

Share Link