Open Access
ARTICLE
Stenting of the ductus arteriosus for ductal‐dependent pulmonary blood flow—current techniques and procedural considerations
Varun Aggarwal1, Christopher J. Petit2, Andrew C. Glatz3,4, Bryan H. Goldstein5, Athar M. Qureshi1
1 The Lillie Frank Abercrombie Section of
Cardiology, Texas Children’s Hospital, Baylor
College of Medicine, Houston, Texas
2 Sibley Heart Center Cardiology, Children’s
Healthcare of Atlanta, Emory University
School of Medicine, Atlanta, Georgia
3 The Cardiac Center at the Children’s
Hospital of Philadelphia, University
of Pennsylvania School of Medicine,
Philadelphia, Pennsylvania
4 Center for Pediatric Clinical
Effectiveness, Children’s Hospital of
Philadelphia, Philadelphia, Pennsylvania
5 The Heart Institute, Cincinnati Children’s
Hospital Medical Center, University of
Cincinnati College of Medicine, Cincinnati,
Ohio
* Corresponding Author: Athar M. Qureshi, MD, The Lillie Frank Abercrombie Section of Cardiology, Texas Children’s Hospital, Baylor College of Medicine, 6651 Main Street, E 1920, Houston, TX 77030. Email:
Congenital Heart Disease 2019, 14(1), 110-115. https://doi.org/10.1111/chd.12709
Abstract
The use of prostaglandin‐E1 immediately after birth and subsequent surgical crea‐
tion of the modified Blalock‐Taussig shunt (BTS) shunt have remarkably improved the
prognosis and survival of children with congenital heart disease and ductal‐depend‐
ent pulmonary blood flow (PBF). Despite the advancement in surgical techniques,
bypass strategies, and postoperative management, significant morbidity and mortal‐
ity after BTS still remain. Patent ductus arteriosus stenting has been shown to be as
an acceptable alternative to BTS placement in select infants with ductal‐dependent
PBF. Newer procedural techniques and equipment, along with operator experience
have all contributed to procedural refinement associated with improved outcomes
over the recent years. In this article, we review the procedural and periprocedural
details, with an emphasis on recent advances of this procedure.
Keywords
Cite This Article
Aggarwal, V., Petit, C. J., Glatz, A. C., Goldstein, B. H., Qureshi, A. M. (2019). Stenting of the ductus arteriosus for ductal‐dependent pulmonary blood flow—current techniques and procedural considerations.
Congenital Heart Disease, 14(1), 110–115. https://doi.org/10.1111/chd.12709