PDA Device Closure Case Study

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Every isolated PDA needs closure beyond 3 months of age except for silent ducts, Eisenmenger ducts and ducts in premature infants. Percutaneously closure of PDA with device is an established modality of treatment worldwide and is regarded as safe and effective. Important information to have a successful duct occlude include age and weight of the patient, size and the experience of the center and operator. The PDA device closure is considered in infant with age beyond 6 months and weight of more than 6 kgs. If PDA is directly responsible for CHF, felling to increase duct closure is indicated as soon as possible. Early closure of PDA improve cardio-respiratory status and as a importance long-term follow-up Pre-procedure assessments…show more content…
Male to female ratio of 0.8:1 mean height was 69cm and mean weight was 8kgs. Out of 55 cases, 3 cases were considered unfitting for device closure, as duct was either large or tiny to be closed. Out of remaining 52 cases, procedure was successful in 50 (96.1%) patients. Mean procedural time was 30 minutes. Percutaneous device closure of PDA is considered safe and preferred mode of treatment for both children and adults. Among 50 successful cases, occluder device were used in 49, while coil was used only in one case. (M.ULLAH , 2012) From 2006 to 2009, 518 consecutive premature infants were admitted in single university Neonatal intensive care unit (ICU). PDA patency was present in 109 (21%) patients With a mean gestational age of 29.1 weeks. Because of the failure of the medical treatment, 19 patients (17%) underwent PDA surgical closure. Only one infant weighed >1000 g. All infants were intubated in the ICU and mechanically ventilated. The result showed no Premature infant died as a direct result of anesthesia or operative procedure. (R.MARGARYAN, 2009) Conclusion; For me I think the best approach of treatment is to wait for 7 days to allow normal
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