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Embolisation of ceramic-coated PDA devices into the descending thoracic aorta: probable mechanisms and retrieval strategies

Part of: Interventional Cardiology

Published online by Cambridge University Press:  06 June 2019

Supratim Sen ,
Sneha Jain  and
Bharat Dalvi
Supratim Sen*
Affiliation:
Department of Pediatric Cardiology, SRCC Children’s Hospital, Mumbai, India
Sneha Jain
Affiliation:
Department of Pediatric Cardiology, SRCC Children’s Hospital, Mumbai, India
Bharat Dalvi
Affiliation:
Department of Pediatric Cardiology, SRCC Children’s Hospital, Mumbai, India Glenmark Cardiac Center, Mumbai, India
*
Author for correspondence: Supratim Sen, Department of Pediatric Cardiology, SRCC Children’s Hospital, 1-1A Haji Ali Park, Mahalaxmi, Mumbai 400034, India. Mobile: +91 8080329189; E-mail: supratim80@gmail.com
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Abstract

We describe two cases of spontaneous embolisation and successful retrieval of ceramic-coated patent arterial duct devices. In both, the device embolised to the descending aorta in the absence of pulmonary hypertension and despite optimum placement. We have discussed possible mechanisms for embolisation in these patients and suggested alternative methods for device retrieval. Based on this limited experience, we conclude that for tubular ducts, ceramic-coated devices should be oversized to form a tighter waist or alternate devices may be considered.

Keywords

PDA sizingtranscatheter PDA occlusiondevice embolisationretrieval
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 6 , June 2019 , pp. 842 - 844
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Copyright
© Cambridge University Press 2019 

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