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Catheter closure of the arterial duct in preterm infants

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

Correspondence to:
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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Arch. Dis. Child. Fetal Neonatal Ed. 2007 92: F235. [Extract] [Full Text] [PDF]