【摘 要】
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Background: Transcatheter PDA stenting is considered as modality to improve the pulmonary blood flow, as an alternative to Surgical aortopulmonary shunt in a selected patients who are suitable for the
【机 构】
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Interventional Pediatric Cardiology Prince Sultan Cardiac Center-Military Hospital Saudi Arabia
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Background: Transcatheter PDA stenting is considered as modality to improve the pulmonary blood flow, as an alternative to Surgical aortopulmonary shunt in a selected patients who are suitable for the procedure.Method: Between Jan 2005 to MAY 2011,87 patients underwent PDA stenting in PSCC after full assessment by echocardiogram and angiogram 41 patients (47%) patient have PA & VSD 25 of them with 2 ventricles and the remaining 16 with single ventricle morphology, 22 (25%) patients have TOF, 24 patients(28%) have PA & IVS, 11 patients have Laser wire/RF perforation of the pulmonary valve same time.Median age is 8 days, median weieght is 3.2 kg, procedure is prograde or retrograde Result: Mean ventilatory support is 2 days, median hospital stay is 4 days ,median saturation is 79%, median follow up is 45 mo, median floroscopy time is 17.6 minutes(7.7-43 min), 6 (6.8%)of them has NEC first few days post stenting, 3(3.4%) has stent migration, 4 (4.6%) lost follow up, 2 (2.2%) deaths,Conclusion: We conclude that PDA stenting is a safeand alternative procedure to Surgical aortopulomnary shunt.
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