Cierre transcateterismo del conducto arterioso persistente: reporte de siete casos en el Hospital General de Culiacán "Bernardo J. Gastélum"

Abstract

Introduction. Transcatheter closure of patent ductus arteriosus (PDA) has been performed since 1971; the use of detachable coils was introduced in 1992, results obtained with this procedure are similar to those obtained by surgical occlusion. Transcatheter closure of PDA avoids thoracotomy, decreased length of hospitalization and complications, and reduce expenses. Material and methods. From December 1999 to October 2000, 7 patients with PDA studied at Hospital General of Culiacan (a second level hospital) were managed using occluding spring coils. Results. Age varied from 6 months to 16 years, 6 patients were females; normal pulmonary artery tension was found in all cases. Aortic diameter ranged from 2 to 5.2 mm and an arterial catheter was used in all cases to implant the device. The closure was successfully achieved in all cases; patients are doing well after 2 to 10 months of follow-up. Conclusion. The transcatheter closure of PDA is a safe procedure that can be carried-out in a second level hospital; pediatric interventional cardiology offers several benefits to the patient and their families.