Stenting of the ductus arteriosus for ductal-dependent pulmonary blood flow-current techniques and procedural considerations.

TitleStenting of the ductus arteriosus for ductal-dependent pulmonary blood flow-current techniques and procedural considerations.
Publication TypeJournal Article
Year of Publication2019
AuthorsAggarwal V, Petit CJ, Glatz AC, Goldstein BH, Qureshi AM
JournalCongenit Heart Dis
Volume14
Issue1
Pagination110-115
Date Published2019 Jan
ISSN1747-0803
Abstract

The use of prostaglandin-E1 immediately after birth and subsequent surgical creation of the modified Blalock-Taussig shunt (BTS) shunt have remarkably improved the prognosis and survival of children with congenital heart disease and ductal-dependent pulmonary blood flow (PBF). Despite the advancement in surgical techniques, bypass strategies, and postoperative management, significant morbidity and mortality after BTS still remain. Patent ductus arteriosus stenting has been shown to be as an acceptable alternative to BTS placement in select infants with ductal-dependent PBF. Newer procedural techniques and equipment, along with operator experience have all contributed to procedural refinement associated with improved outcomes over the recent years. In this article, we review the procedural and periprocedural details, with an emphasis on recent advances of this procedure.

DOI10.1111/chd.12709
Alternate JournalCongenit Heart Dis
PubMed ID30811792