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<p>Patent ductus arteriosus (PDA) stenting is rapidly emerging as an initial palliative option for infants with cyanotic congenital heart disease and ductal-dependent pulmonary blood flow. Although less invasive than surgical systemic to pulmonary shunt placement, the procedure is technically challenging with a notable learning curve. The highly variable anatomy of the PDA contributes to procedural complexity, success rates, and adverse outcomes. This technical review proposes a scheme of best practices for PDA stenting based on the authors’ experience and existing literature. We review pre-, intra-, and post-catheterization care, with an in-depth discussion of procedural strategy, equipment selection, and technical pitfalls relevant to each morphologic PDA sub-type.</p>

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Stenting the Ductus Arteriosus in Neonates with Ductal-Dependent Pulmonary Blood Flow: Technical and Anatomic Considerations

  • 期刊论文

  • 发表日期：

    2025年4月10日

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  • Tacy E. Downing,
  • Dana M. Boucek,
  • Andrew C. Glatz,
  • Athar M. Qureshi,
  • Jeffrey D. Zampi,
  • Christopher J. Petit,
  • Mark A. Law,
  • Jeffery J. Meadows,
  • Michael L. O’Byrne,
  • George T. Nicholson,
  • Shabana Shahanavaz,
  • Shiraz A. Maskatia,
  • Bryan H. Goldstein,
  • Brian H. Morray

摘要

Patent ductus arteriosus (PDA) stenting is rapidly emerging as an initial palliative option for infants with cyanotic congenital heart disease and ductal-dependent pulmonary blood flow. Although less invasive than surgical systemic to pulmonary shunt placement, the procedure is technically challenging with a notable learning curve. The highly variable anatomy of the PDA contributes to procedural complexity, success rates, and adverse outcomes. This technical review proposes a scheme of best practices for PDA stenting based on the authors’ experience and existing literature. We review pre-, intra-, and post-catheterization care, with an in-depth discussion of procedural strategy, equipment selection, and technical pitfalls relevant to each morphologic PDA sub-type.