{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:39:34Z","timestamp":1779287974901,"version":"3.51.4"},"reference-count":19,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T00:00:00Z","timestamp":1638662400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>(1) Background: Transcatheter closure of the patent arterial duct (TCPDA) in preterm infants is an emerging procedure. Patent arterial duct (PDA) spontaneous closure after failed TCPDA attempts is seen but reasons and outcomes are not reported; (2) Methods: We retrospectively included all premature infants &lt;2 kg with abandoned TCPDA procedures from our institutional database between September 2017 and August 2021. Patients\u2019 data and outcomes were reviewed; (3) Results: The procedure was aborted in 14\/130 patients referred for TCPDA. Two patients had spasmed PDA upon arrival in the catheterization laboratory and had no intervention. One patient had ductal spasm after guidewire cross. Four patients had unsuitable PDA size\/shape for closure. In seven patients, device closure was not possible without causing obstruction on adjacent vessels. Among the 12 patients with attempted TCPDA, five had surgery on a median of 3 days after TCPDA and seven had a spontaneous PDA closure within a median of 3 days after the procedure. Only the shape of the PDA differed between the surgical ligation group (short and conical) and spontaneous closure group (F-type); (4) Conclusions: In the case of TCPDA failure, mechanically induced spontaneous closure may occur early after the procedure. Surgical ligation should be postponed when clinically tolerated.<\/jats:p>","DOI":"10.3390\/children8121138","type":"journal-article","created":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T20:59:33Z","timestamp":1638737973000},"page":"1138","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Spontaneous Closure of the Arterial Duct after Transcatheter Closure Attempt in Preterm Infants"],"prefix":"10.3390","volume":"8","author":[{"given":"Mathilde","family":"M\u00e9ot","sequence":"first","affiliation":[{"name":"Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond N.","family":"Haddad","sequence":"additional","affiliation":[{"name":"Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana","family":"Patkai","sequence":"additional","affiliation":[{"name":"Neonatology Department, Port-Royal Hospital, 75014 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim","family":"Abu Zahira","sequence":"additional","affiliation":[{"name":"Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Di Marzio","sequence":"additional","affiliation":[{"name":"Anesthesiology, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Szezepanski","sequence":"additional","affiliation":[{"name":"Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fanny","family":"Bajolle","sequence":"additional","affiliation":[{"name":"Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elsa","family":"Kermorvant","sequence":"additional","affiliation":[{"name":"Neonatology Department, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"},{"name":"UFR de M\u00e9decine, Universit\u00e9 de Paris, Site Cordeliers, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1872-4176","authenticated-orcid":false,"given":"Alexandre","family":"Lapillonne","sequence":"additional","affiliation":[{"name":"Neonatology Department, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"},{"name":"UFR de M\u00e9decine, Universit\u00e9 de Paris, Site Cordeliers, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8722-5805","authenticated-orcid":false,"given":"Damien","family":"Bonnet","sequence":"additional","affiliation":[{"name":"Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"},{"name":"UFR de M\u00e9decine, Universit\u00e9 de Paris, Site Cordeliers, 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sophie","family":"Malekzadeh-Milani","sequence":"additional","affiliation":[{"name":"Centre de R\u00e9f\u00e9rence Malformations Cardiaques Cong\u00e9nitales Complexes\u2014M3C, H\u00f4pital Necker-Enfants Malades, 75015 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,12,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e20201209","DOI":"10.1542\/peds.2020-1209","article-title":"Patent Ductus Arteriosus of the Preterm Infant","volume":"146","author":"Hamrick","year":"2020","journal-title":"Pediatrics"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Sung, S.I., Chang, Y.S., Kim, J., Choi, J.H., Ahn, S.Y., and Park, W.S. 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