Open AccessIs Two Dimensional Echocardiography sufficient for selection of device for successful transcatheter closure of Patent Ductus Arteriosus in Children?
Author(s) -
Manish Shrestha,
Urmila Shakya,
Poonam Sharma,
Subhash Chandra Shah,
Shilpa Aryal,
Amshu Shakya,
Shistata Rajbhandari,
Vidhata Kc,
Kul Ratna Thapa,
Chandra Mani Adhikari
Publication year - 2021
Publication title -
nepalese heart journal/nepalese heart journal
Language(s) - English
Resource type - Journals
eISSN - 2382-5464
pISSN - 2091-2978
DOI - 10.3126/njh.v18i2.40404
Subject(s) - ductus arteriosus , medicine , cardiology , angiography
Background and Aims: Two dimensional transthoracic echocardiography (2DE) is widely used for detecting congenital heart disease and is possible to obtain precise measurement of Patent ductus arteriosus (PDA) for device selection required for transcatheter closure. Primary aim of the study is to determine whether echocardiographic assessment alone can be used for selection of device for transcatheter closure of PDA.
Methods: Children with PDA and planned for transcatheter intervention were included in this cross-sectional study of one year. PDA was assessed with 2DE and prediction of device size was made.
Results: The results were obtained from 107 children. The median age and weight at intervention were 3.8 years (ranging from 6 months to14 years) and 12 kg (ranging from 3.5 to 60 kg). Type A (Conical) PDA was the commonest PDA morphology accounting for 87.8% and 85% in 2DE and angiography respectively. There was no difference (p 6mm) were excluded, the predicted size of device by 2DE was statistically concordant (p = 0.1) to the actual device used in 89 (83%) patients.
Conclusion: Two dimensional Transthoracic echocardiography alone may be helpful in choosing the device during transcatheter closure of PDA in selective group of patients.