Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnett Avenue, Cincinnati, OH, USA.
Webster Foundation 3D Innovations Lab, Rady Children's Hospital, 3020 Children's way, San Diego, CA 92123, USA.
Interv Cardiol Clin. 2024 Jul;13(3):421-430. doi: 10.1016/j.iccl.2024.02.002. Epub 2024 Mar 22.
Since PDA stenting was first attempted in the early 1990s, significant technical advancements have improved outcomes and some centers have even transitioned to exclusive PDA stenting for all infants with duct-dependent pulmonary circulation. In addition to its use in infants with duct-dependent pulmonary circulation, PDA stenting has also been adapted as a percutaneous palliative option for suprasystemic pulmonary arterial hypertension and as a component of the hybrid procedure. In this article, the authors aim to review indications and outcomes for PDA stenting, describe the procedure, and discuss future directions.
自 20 世纪 90 年代初首次尝试经皮伞形封堵术(PDA)以来,技术的重大进步改善了治疗效果,一些中心甚至已经完全转为对所有依赖动脉导管循环的肺血患儿行 PDA 支架植入术。除了在依赖动脉导管循环的肺血患儿中的应用,PDA 支架植入术也已作为一种姑息性经皮治疗超系统性肺动脉高压的方法,以及杂交手术的一部分。在本文中,作者旨在回顾 PDA 支架植入术的适应证和结果,描述手术过程,并讨论未来的方向。