{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:37:57Z","timestamp":1786649877567,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>\n                    We report three young infants (118, 45, and 80 days; 3.5, 4.1, and 3.8 kg) with patent ductus arteriosus (PDA) who had a uniform pattern of immediate device displacement into the aorta after an apparently secure deployment of a duct occluder. All had aortic obstruction requiring urgent surgical relief. During the study period, 18 infants (&lt;6 months) underwent PDA closure with the same device size (6\u20134 Lifetech duct occluder). The aortic diameter and PDA length were similar in cases versus the 15 controls with uneventful procedures. The percentage shortening screw to pin distance ratio, which indicates the degree of recoil of the device upon release, was significantly higher in the cases versus controls (14.00 [12\u201315] vs. 4.00 [2.30\u20137.50],\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.011). A combination of tissue pliability and exaggerated recoil can occasionally result in unforeseen device migration and resultant aortic obstruction in small young infants, meriting cautious assessment before deployment and immediately after release.\n                  <\/jats:p>","DOI":"10.4103\/apc.apc_228_25","type":"journal-article","created":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T18:00:42Z","timestamp":1767722442000},"page":"483-486","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Immediate aortic obstruction in young infants undergoing patent arterial duct closure with the duct occluder"],"prefix":"10.4103","volume":"18","author":[{"given":"Taniya Rachel","family":"Issacs","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navaneetha","family":"Sasikumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raman Krishna","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,6]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1111\/j.1540-8183.2012.00762.x","article-title":"Challenges in device closure of a large patent ductus arteriosus in infants weighing less than 6 kg","volume":"26","author":"Vijayalakshmi","year":"2013","journal-title":"J Interv Cardiol"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1016\/j.jcin.2010.08.022","article-title":"Outcomes of transcatheter occlusion of patent ductus arteriosus in infants weighing \u22646 kg","volume":"3","author":"Dimas","year":"2010","journal-title":"JACC Cardiovasc Interv"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"2113","DOI":"10.1017\/S1047951123000938","article-title":"Late aortic obstruction due to ductal vasoconstriction on pulmonic end after transcatheter patent ductus arteriosus closure in an extremely low-birth-weight infant","volume":"33","author":"Padovani","year":"2023","journal-title":"Cardiol Young"},{"key":"R4-20260420","first-page":"464","article-title":"Development of aortic coarctation following device closure of patent ductus arteriosus","volume":"25","author":"Doshi","year":"2013","journal-title":"J Invasive Cardiol"},{"key":"R5-20260420","first-page":"889","article-title":"Incidence and fate of device-related left pulmonary artery stenosis and aortic coarctation in small infants undergoing transcatheter patent ductus arteriosus closure","volume":"96","author":"Tomasulo","year":"2020","journal-title":"Catheter Cardiovasc Interv"},{"key":"R6-20260420","first-page":"71","article-title":"Percutaneous closure of patent ductus arteriosus in premature infants: A French national survey","volume":"95","author":"Malekzadeh-Milani","year":"2020","journal-title":"Catheter Cardiovasc Interv"},{"key":"R7-20260420","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.ijcard.2020.02.065","article-title":"Device deformation and left pulmonary artery obstruction after transcatheter patent ductus arteriosus closure in preterm infants","volume":"312","author":"Chien","year":"2020","journal-title":"Int J Cardiol"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_228_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:59:26Z","timestamp":1786647566000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_228_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_228_25","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"2025-08-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}