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PDA Closure

  • Lisa Bergersen
  • Susan Foerster
  • Audrey C. Marshall
  • Jeffery Meadows

Abstract

The first surgery for a congenital heart defect was a PDA ligation by Dr. Robert Gross (as a Chief Surgical Resident) in 1938 at Children’s Hospital Boston. Since that time, therapy for PDAs has changed considerably. Catheter-directed therapy for PDA has gradually evolved since its introduction by Porstmann in 1967. In March 1992, Cambier and Moore reported an innovative adaptation in the use of Gianturco steel coils when they occluded small (<2.5 mm) PDAs in four patients. This adaptation had major advantages over previous devices in that it employed existing catheter technology, obviating the need for regulatory review and licensing. The coils were inexpensive ($20–$25 each) and could be delivered through a venous or an arterial catheter using much smaller (4 Fr) introducing sheaths. In 2003, the amplatzer duct occluder was the first FDA-approved device for PDA closure.

Keywords

Infective Endocarditis Retrograde Approach Amplatzer Duct Occluder Amplatzer Device Residual Leak 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Reference

Reference

  1. 1. Pass RH, Hijazi Z, Hsu DT, Lewis V, Hellenbrand WE. Multicenter USA amplatzer patent ductus arteriosus occlusion device trial. J Am Coll Cardiol 2004;44:513–19.PubMedCrossRefGoogle Scholar

Review Article

  1. Grifka RG. Transcatheter closure of the patent ductus arteriosus. Cath Card Intv 2004;61:554-570.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Lisa Bergersen
    • 1
  • Susan Foerster
    • 2
  • Audrey C. Marshall
    • 1
  • Jeffery Meadows
    • 3
  1. 1.Department of CardiologyChildren’s Hospital BostonBostonUSA
  2. 2.Washington University in St. LouisSt. LouisUSA
  3. 3.Division of Pediatric CardiologyUniversity of California at San FranciscoSan FranciscoUSA

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