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

Varun Aggarwal, Christopher J. Petit, Andrew C. Glatz, Bryan H. Goldstein, Athar M. Qureshi

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)110-115
Number of pages6
JournalCongenital Heart Disease
Volume14
Issue number1
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Keywords

  • congenital heart disease
  • ductal-dependent pulmonary blood flow
  • patent ductus arteriosus
  • stent

PubMed: MeSH publication types

  • Journal Article
  • Review

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