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Piccolo in transcatheter PDA closure multi-centre study from premature to adolescent children

Published online by Cambridge University Press:  07 June 2023

Osman Baspinar Open the ORCID record for Osman Baspinar [Opens in a new window] ,
Nazmi Narin ,
Ali Baykan ,
Kaan Yildiz Open the ORCID record for Kaan Yildiz [Opens in a new window] ,
Ozge Pamukcu Open the ORCID record for Ozge Pamukcu [Opens in a new window] ,
Abdullah Ozyurt ,
Mehmet Kervancioglu ,
Yunus Emre Kum Open the ORCID record for Yunus Emre Kum [Opens in a new window] ,
Munevver Tugba Temel Open the ORCID record for Munevver Tugba Temel [Opens in a new window]  and
Alper Dogan Open the ORCID record for Alper Dogan [Opens in a new window]
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Osman Baspinar*
Affiliation:
Pediatric Cardiology, Gaziantep University Medical Faculty, Gaziantep, Turkey
Nazmi Narin
Affiliation:
Pediatric Cardiology, Izmir Katip Celebi University Medical Faculty, Izmir, Turkey
Ali Baykan
Affiliation:
Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey
Kaan Yildiz
Affiliation:
Pediatric Cardiology, Tepecik Training and Research Hospital Clinics, İzmir, Turkey
Ozge Pamukcu
Affiliation:
Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey
Abdullah Ozyurt
Affiliation:
Pediatric Cardiology, Mersin Women’s and Children’s Hospital, Mersin, Turkey
Mehmet Kervancioglu
Affiliation:
Pediatric Cardiology, Gaziantep University Medical Faculty, Gaziantep, Turkey
Yunus Emre Kum
Affiliation:
Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey
Munevver Tugba Temel
Affiliation:
Pediatric Cardiology, Gaziantep University Medical Faculty, Gaziantep, Turkey
Alper Dogan
Affiliation:
Pediatric Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey
Sedat Bagli
Affiliation:
Pediatric Cardiology, Tepecik Training and Research Hospital Clinics, İzmir, Turkey
Tulay Demircan
Affiliation:
Pediatric Cardiology, Tepecik Training and Research Hospital Clinics, İzmir, Turkey
Derya Aydin Sahin
Affiliation:
Pediatric Cardiology, Gaziantep University Medical Faculty, Gaziantep, Turkey
Ferhan Elmali
Affiliation:
Biostatistics Department. Izmir Katip Celebi University, Izmir, Turkey
Cem Karadeniz
Affiliation:
Pediatric Cardiology, Tepecik Training and Research Hospital Clinics, İzmir, Turkey
*
Corresponding author: Osman Baspinar; Email: osmanbaspinar@hotmail.com
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Abstract

In this multi-centre study, the mid- to long-term efficacy and safety of the Amplatzer Piccolo Occluder in patent ductus arteriosus closure in premature and term infants as well as children were discussed. Methods. Between 2016 and 2021, 645 patients, 152 of whom were less than 1 month old, underwent ductus closure with the Piccolo device from five different centres in Turkey. The median age of the patients was 2.2 years, and the mean narrowest point of duct diameter was 1.8 mm. Sixty-two patients weighed ≤ 1.5 kg, 90 patients 1.5–3 kg, and the mean follow-up was 20.4 months. In 396, the duct was closed by the retrograde route. Ductal anatomy was Type A in 285, C in 72, E in 171, and F in 64 patients. Fluoroscopy duration was 6.2 min. The procedure success rate was 99.1%. Device embolisation occurred in 13 patients (2%), and 11 were retrieved with a snare. Cardiac perforation and death developed in one premature baby. The left pulmonary artery and the descending aorta stenosis were observed in 3 (0.4%) and in 5 patients (0.5%). Results. Piccolo device is safe and effective in closing ductus in all age groups. It has low profile for use in premature and newborn babies, a small embolisation risk, and a low residual shunt rate after closure. Conclusion. The Piccolo device can be considered as close an ideal occluder. The lower profile, smaller delivery catheter size, and symmetry of this device allow for a venous or arterial approach.

Keywords

Patent ductus arteriosusamplatzer piccolo occludertranscatheter closure
Type
Original Article
Information
Cardiology in the Young , Volume 34 , Issue 1 , January 2024 , pp. 157 - 162
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Copyright
© The Author(s), 2023. Published by Cambridge University Press

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