{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:53:47Z","timestamp":1772171627236,"version":"3.50.1"},"reference-count":22,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Arch Dis Child Fetal Neonatal Ed"],"accepted":{"date-parts":[[2017,8,17]]},"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Over the last few decades different strategies have been proposed to treat persistent ductal patency in premature infants. The advent of the Amplatzer Duct Occluder II Additional Size (ADOIIAS) provided the potential to close the patent ductus arteriosus (PDA). Opinions differ on the significance and treatment of PDA in premature neonates. Because surgical ligation and medical therapy both have their drawbacks, interventional catheterisation can be considered as an alternative means of closing the ductus arteriosus. Our aim was to analyse the feasibility, safety and efficacy of this device in premature infants weighing &lt;1200 g at procedure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Eighteen premature infants underwent transcatheter closure. The procedure was performed in the catheterisation laboratory by venous cannulation without angiography. The position of the occluder was directed by X-ray and ultrasound. We looked at procedural details, device size selection, complications and short-term and mid-term outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Eighteen infants born at gestational ages ranging between 23.6 and 29+6 weeks (mean\u00b1SD\u200925+6\u00b13 weeks) underwent transcatheter PDA closure. Their mean age and weight at the time of the procedure was 20 days (range 8\u201344 days) and 980\u2009g (range 680\u20131200\u2009g), respectively. The mean PDA and device waist diameters were 3.2\u00b10.6\u2009mm (range 2.2\u20134 mm) and 4.5\u00b10.6\u2009mm, respectively, and the mean PDA and device lengths were 4.3\u00b11.2\u2009mm (range 2\u201310 mm) and 2.5\u00b10.9\u2009mm, respectively. Complete closure was achieved in all but one patient. There was no device migration. One patient developed a left pulmonary artery obstruction. Three infants died. Two deaths were related to complications of prematurity and one to the procedure.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Transcatheter closure of a PDA is feasible in very low weight infants with ADOIIAS and is an alternative to surgery. Success requires perfect selection and placement of the occluder.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/archdischild-2016-312582","type":"journal-article","created":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T08:55:10Z","timestamp":1508835310000},"page":"F198-F201","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":37,"title":["Transcatheter occlusion of the patent ductus arteriosus in premature infants weighing less than 1200\u2009g"],"prefix":"10.1136","volume":"103","author":[{"given":"Patrice","family":"Morville","sequence":"first","affiliation":[{"name":"Polyclinique les bleuets, Pediatric Cardiology, Groupe Courlancy, Reims, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Douchin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, CHU de Grenoble France, Grenoble, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helene","family":"Bouvaist","sequence":"additional","affiliation":[{"name":"Department of Cardiology, CHU de Grenoble France, Grenoble, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Dauphin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, CHU de Grenoble France, Grenoble, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,10,24]]},"reference":[{"key":"2025090513395392000_103.3.F198.1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2011.09.022"},{"key":"2025090513395392000_103.3.F198.2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1528"},{"key":"2025090513395392000_103.3.F198.3","doi-asserted-by":"publisher","DOI":"10.1038\/pr.2012.114"},{"key":"2025090513395392000_103.3.F198.4","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2015-3730","article-title":"Patent ductus arteriosus : to treat or not to treat ?","volume":"137","author":"Benitz","year":"2016","journal-title":"Pediatrics"},{"key":"2025090513395392000_103.3.F198.5","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2418"},{"key":"2025090513395392000_103.3.F198.6","doi-asserted-by":"crossref","first-page":"3132","DOI":"10.2174\/0929867321666140304095434","article-title":"Non-steroidal anti-inflammatory drugs (NSAIDs) in the management of patent ductus arteriosus (PDA) in preterm infants and variations in attitude in clinical practice: a flight around the world","volume":"21","author":"Irmesi","year":"2014","journal-title":"Curr Med Chem"},{"key":"2025090513395392000_103.3.F198.7","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0359"},{"key":"2025090513395392000_103.3.F198.8","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/S0146-0005(05)80032-1","article-title":"Patent ductus practice to improve the quality of medical care","volume":"19","author":"Litlle","year":"1995","journal-title":"Seminar Perinatol"},{"key":"2025090513395392000_103.3.F198.9","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2006.104596"},{"key":"2025090513395392000_103.3.F198.10","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2011.102"},{"key":"2025090513395392000_103.3.F198.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2016.06.046"},{"key":"2025090513395392000_103.3.F198.12","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-3431"},{"key":"2025090513395392000_103.3.F198.13","first-page":"250","article-title":"Transcatheter occlusion of the patent ductus arteriosus in infants: experimental testing of a new Amplatzer device","volume":"83","author":"Bass","year":"2014","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025090513395392000_103.3.F198.14","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2003.027698"},{"key":"2025090513395392000_103.3.F198.15","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.118117"},{"key":"2025090513395392000_103.3.F198.16","first-page":"232","article-title":"Transcatheter management of patent ductus arteriosus in sick ventilated small infants","volume":"56","author":"Kannan","year":"2004","journal-title":"Indian Heart J"},{"key":"2025090513395392000_103.3.F198.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2010.01.016"},{"key":"2025090513395392000_103.3.F198.18","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.25534"},{"key":"2025090513395392000_103.3.F198.19","first-page":"310","article-title":"Morphologic characterization of the patent ductus arteriosus in the premature infant and the choice of transcatheter occlusion device","volume":"87","author":"Philip","year":"2016","journal-title":"Catheter Cardiovasc Interv"},{"key":"2025090513395392000_103.3.F198.20","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22657"},{"key":"2025090513395392000_103.3.F198.21","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.22637"},{"key":"2025090513395392000_103.3.F198.22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.09.040"}],"container-title":["Archives of Disease in Childhood - Fetal and Neonatal Edition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/archdischild-2016-312582","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T20:40:01Z","timestamp":1757104801000},"score":1,"resource":{"primary":{"URL":"https:\/\/fn.bmj.com\/lookup\/doi\/10.1136\/archdischild-2016-312582"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,24]]},"references-count":22,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,4,19]]},"published-print":{"date-parts":[[2018,5]]}},"alternative-id":["10.1136\/archdischild-2016-312582"],"URL":"https:\/\/doi.org\/10.1136\/archdischild-2016-312582","relation":{},"ISSN":["1359-2998","1468-2052"],"issn-type":[{"value":"1359-2998","type":"print"},{"value":"1468-2052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,24]]}}}