{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T18:41:20Z","timestamp":1767984080874,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T00:00:00Z","timestamp":1588118400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Interventional Cardiology"],"published-print":{"date-parts":[[2020,4,29]]},"abstract":"<jats:p><jats:italic>Objectives<\/jats:italic>. Patent ductus arteriosus (PDA) in elderly patients is an uncommon anomaly, and the duct itself is often calcified and fragile; therefore, transcatheter closure is more difficult. The aim is to analyse periprocedural and one-year follow-up results of transcatheter closure of PDA in such patients. <jats:italic>Methods and results<\/jats:italic>. Retrospective analysis of 33 elective patients aged \u226555 years (median 63; 56\u201385; 29 women), in whom PDA was closed percutaneously between 2002 and 2018 in two tertiary centres. All but three patients were symptomatic, with most in NYHA II (<jats:italic>n<\/jats:italic>\u2009=\u200914) and III (<jats:italic>n<\/jats:italic>\u2009=\u200911) class; pulmonary hypertension (<jats:italic>n<\/jats:italic>\u2009=\u200922), arterial hypertension (<jats:italic>n<\/jats:italic>\u2009=\u200922), duct calcifications (<jats:italic>n<\/jats:italic>\u2009=\u200917), atrial fibrillation (<jats:italic>n<\/jats:italic>\u2009=\u200915), significant mitral regurgitation (<jats:italic>n<\/jats:italic>\u2009=\u20095), and decompensated renal failure (<jats:italic>n<\/jats:italic>\u2009=\u20092) were observed. Different devices were applied depending on PDA morphology; nitinol wire mesh occluders with symmetrical articulating discs have been the most used in recent years (<jats:italic>n<\/jats:italic>\u2009=\u200911). Follow-up was conducted at an outpatient clinic (28\/33 patients). The procedure was successful in all patients. There was one embolisation, followed by implantation of a larger device. No major complications were noted. A small residual shunt was present in echocardiography in one patient after one year. NYHA class improved in all but two patients (with multiple comorbidities). <jats:italic>Conclusions<\/jats:italic>. Transcatheter PDA closure in elderly patients is safe and efficient with a high complete closure rate and few complications. Amplatzer duct occluder type II is an attractive device in such patients.<\/jats:p>","DOI":"10.1155\/2020\/4585124","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T23:47:42Z","timestamp":1588204062000},"page":"1-8","source":"Crossref","is-referenced-by-count":10,"title":["Transcatheter Closure of Patent Ductus Arteriosus in Elderly Patients: Initial and One-Year Follow-Up Results\u2014Do We Have the Proper Device?"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4713-0975","authenticated-orcid":true,"given":"Michal","family":"Galeczka","sequence":"first","affiliation":[{"name":"Department of Congenital Heart Defects and Paediatric Cardiology, FMS in Zabrze, Medical University of Silesia in Katowice, Silesian Centre for Heart Diseases, Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malgorzata","family":"Szkutnik","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Defects and Paediatric Cardiology, FMS in Zabrze, Medical University of Silesia in Katowice, Silesian Centre for Heart Diseases, Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacek","family":"Bialkowski","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Defects and Paediatric Cardiology, FMS in Zabrze, Medical University of Silesia in Katowice, Silesian Centre for Heart Diseases, Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Smerdzinski","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Defects and Paediatric Cardiology, FMS in Zabrze, Medical University of Silesia in Katowice, Silesian Centre for Heart Diseases, Zabrze, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mateusz","family":"Knop","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Defects and Paediatric 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