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Published Online First: 18 August 2006. doi:10.1136/adc.2005.078600
Archives of Disease in Childhood - Fetal and Neonatal Edition 2007;92:F248-F250
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

ORIGINAL ARTICLE

Catheter closure of the arterial duct in preterm infants

Philip Roberts, Satish Adwani, Nick Archer, Neil Wilson

Department of Paediatric Cardiology, John Radcliffe Hospital, Oxford, UK

Correspondence to:
Dr N Wilson
Department of Paediatric Cardiology, John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, UK; NeilWil1{at}aol.com

Background: When medical treatment of a symptomatic arterial duct in a preterm infant fails, management is surgical.

Patients and Methods: 10 preterm neonates referred to a tertiary cardiac centre for treatment of a symptomatic patent arterial duct who underwent cardiac catheterisation with the intention of device closure.

Results: Successful catheter device closure of the arterial duct in nine preterm infants is described.

Conclusion: In selected cases, catheter device closure may offer an alternative to thoracotomy and surgical ligation.

Abbreviations: LPA, left pulmonary artery; NSAID, non-steroidal anti-inflammatory drug

Keywords: arterial duct; preterm; device closure


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