Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease
Abstract Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid arte...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-06-01
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| Series: | The Egyptian Heart Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43044-023-00371-4 |
| _version_ | 1827922974669275136 |
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| author | Made Satria Yudha Dewangga Radityo Prakoso Anna Ulfah Rahajoe Oktavia Lilyasari |
| author_facet | Made Satria Yudha Dewangga Radityo Prakoso Anna Ulfah Rahajoe Oktavia Lilyasari |
| author_sort | Made Satria Yudha Dewangga |
| collection | DOAJ |
| description | Abstract Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. |
| first_indexed | 2024-03-13T04:50:01Z |
| format | Article |
| id | doaj.art-ecd3629d72e04758b822c44128d66be0 |
| institution | Directory Open Access Journal |
| issn | 2090-911X |
| language | English |
| last_indexed | 2024-03-13T04:50:01Z |
| publishDate | 2023-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Heart Journal |
| spelling | doaj.art-ecd3629d72e04758b822c44128d66be02023-06-18T11:17:39ZengSpringerOpenThe Egyptian Heart Journal2090-911X2023-06-017511710.1186/s43044-023-00371-4Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart diseaseMade Satria Yudha Dewangga0Radityo Prakoso1Anna Ulfah Rahajoe2Oktavia Lilyasari3Department of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita Jakarta, University of IndonesiaDepartment of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita Jakarta, University of IndonesiaDepartment of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita Jakarta, University of IndonesiaDepartment of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita Jakarta, University of IndonesiaAbstract Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch.https://doi.org/10.1186/s43044-023-00371-4Vascular accessPatent ductus arteriosusSafetyEfficacyTranscarotidPDA stenting |
| spellingShingle | Made Satria Yudha Dewangga Radityo Prakoso Anna Ulfah Rahajoe Oktavia Lilyasari Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease The Egyptian Heart Journal Vascular access Patent ductus arteriosus Safety Efficacy Transcarotid PDA stenting |
| title | Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease |
| title_full | Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease |
| title_fullStr | Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease |
| title_full_unstemmed | Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease |
| title_short | Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease |
| title_sort | efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct dependent cyanotic heart disease |
| topic | Vascular access Patent ductus arteriosus Safety Efficacy Transcarotid PDA stenting |
| url | https://doi.org/10.1186/s43044-023-00371-4 |
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