Comparison of clinical outcomes of surgical verses non surgical techniques of patent ductus arteriosus closure � A multicentre trial.

Dr Dharmendra kumar srivastava; Dr Bhuwan chandra tiwari; Prof. Shantanu pande; Prof.Satayedra tewari; Prof Sushil kumar singh; Dr Anupama singh

Volume : VI, Issue : VI, June - 2016

Comparison of clinical outcomes of surgical verses non surgical techniques of patent ductus arteriosus closure � A multicentre trial.

Dr Dharmendra Kumar Srivastava, Dr Bhuwan Chandra Tiwari, Prof. Shantanu Pande, Prof. Satayedra Tewari, Prof Sushil Kumar Singh, Dr Anupama Singh

Abstract :

• Background– Spontaneous closure of patent ductus arteriosus (PDA) is very uncommon and anatomic existence of a PDA regardless of size is an indication for intervention. • Patients and methods– In our prospective study we were used the two surgical approaches transaxillary minithoracotomy and postero– lateral thoracotomy for PDA closure and their comparisons to nonsurgical approach (percutaneous transcather device closure PTDC) of clinical outcomes in different aspects were done in 71 Patients between March 2012 to Feuary 2014 in three different Tertiary hospital based institutes after ethical clearance. • Results– out of 71 Patients, 26 were males and 45 were females with age in the range of 10 months to 50 years. All patients were diagnosed on transthoracic echocardiography with size of PDA in the range of 03 mm to 10 mm and left to right shunt. Transaxillary minithoracotomy was performed in 08 patients and postero lateral approach in 10 patients. All the cases of PTDC were performed in local/sedation anaesthesia with duration of procedure in range of 42–72 minutes. Cocoon duct occluder (44 cases) and Heart R occluder (08 cases) devices were used in PDA closure. • Conclusion– All three techniques have excellent results without any major complications, morbidity and mortality. In the treatment of PDA with mortality rate approaching zero, we emphasise on cost effectiveness, technical expertise and decreasing morbidity of techniques of closure.