open access

Vol 13, No 2 (2018)
Case report
Published online: 2018-05-30
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Retrograde wiring and antergrade closure of patent ductus arteriosus by Coccoon Duct Occluder in 6 months old infant

Santosh Kumar Sinha, Prakash Kumar, Mahdula Razi, Umeshwar Pande, Ramesh Thakur, Chandra Mohan Varma
DOI: 10.5603/FC.2018.0028
·
Folia Cardiologica 2018;13(2):157-160.

open access

Vol 13, No 2 (2018)
Case Reports
Published online: 2018-05-30

Abstract

Patent ductus arteriosus (PDA) accounts for up to 10% of all congenital heart disease. Transcatheter closure of PDAs has now become treatment of choice replacing surgery. It is simple, consisting of placement of device or vascular occlusion coils either antegrade from femoral vein or retrograde from femoral artery. Here we report a patient of PDA with vascular anatomy too difficult to be antegradely approached and were closed by a retrograde wiring and antegrade snaring using a customised snare. Then device was deployed by usual antegrade approach over snared wire. This retrograde wire-assisted technique and antegrade snaring could be utilized to overcome PDA of difficult vascular anatomy, which could not be easily fulfilled by conventional antegrade venous approach alone.

Abstract

Patent ductus arteriosus (PDA) accounts for up to 10% of all congenital heart disease. Transcatheter closure of PDAs has now become treatment of choice replacing surgery. It is simple, consisting of placement of device or vascular occlusion coils either antegrade from femoral vein or retrograde from femoral artery. Here we report a patient of PDA with vascular anatomy too difficult to be antegradely approached and were closed by a retrograde wiring and antegrade snaring using a customised snare. Then device was deployed by usual antegrade approach over snared wire. This retrograde wire-assisted technique and antegrade snaring could be utilized to overcome PDA of difficult vascular anatomy, which could not be easily fulfilled by conventional antegrade venous approach alone.
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Keywords

antegrade snare, patent ductus arteriosus, retrograde snare, retrograde wiring, transcatheter closure

About this article
Title

Retrograde wiring and antergrade closure of patent ductus arteriosus by Coccoon Duct Occluder in 6 months old infant

Journal

Folia Cardiologica

Issue

Vol 13, No 2 (2018)

Article type

Case report

Pages

157-160

Published online

2018-05-30

DOI

10.5603/FC.2018.0028

Bibliographic record

Folia Cardiologica 2018;13(2):157-160.

Keywords

antegrade snare
patent ductus arteriosus
retrograde snare
retrograde wiring
transcatheter closure

Authors

Santosh Kumar Sinha
Prakash Kumar
Mahdula Razi
Umeshwar Pande
Ramesh Thakur
Chandra Mohan Varma

References (5)
  1. Mitchell SC, Korones SB, Berendes HW. Congenital heart disease in 56,109 births. Incidence and natural history. Circulation. 1971; 43(3): 323–332.
  2. John S, Muralidharan S, Jairaj PS, et al. The adult ductus: review of surgical experience with 131 patients. J Thorac Cardiovasc Surg. 1981; 82(2): 314–319.
  3. Fisher RG, Moodie DS, Sterba R, et al. Patent ductus arteriosus in adults--long-term follow-up: nonsurgical versus surgical treatment. J Am Coll Cardiol. 1986; 8(2): 280–284.
  4. Ng AS, Vlietstra RE, Danielson GK, et al. Patent ductus arteriosus in patients more than 50 years old. Int J Cardiol. 1986; 11(3): 277–285.
  5. Masura J, Walsh KP, Thanopoulous B, et al. Catheter closure of moderate- to large-sized patent ductus arteriosus using the new Amplatzer duct occluder: immediate and short-term results. J Am Coll Cardiol. 1998; 31(4): 878–882.

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