Background:
Transcatheter PDA stenting is considered now as amodality to improve the pulmonary blood flow, as an alternative to Surgical aortopulmonary shunt in a selected patients who are suitable for the procedure.
Method:
Between Jan 2005 to Oct 2008 , 51 patients underwent PDA stenting in PSCC after full assessment by echocardiogram and angiogram 30(59%) patient have PA & VSD 19 of them with 2 ventricles and the remaining 11 with single ventricle morphology, 13(25%) patients have TOF , 8 patients(16%) have PA & IVS, 5 patients have Laser wire /RF perforation of the pulmonary valve same time. Median age is 8 days , median weieght is 3.2 kg, procedure is prograde or retrograde
Result:
Mean ventilatory support is 2 days, median hospital stay is 5 days ,median saturation is 79%, median follow up is 18 mo ( 1-46mo), median floroscopy time is 17.6 minutes( 7.7-43 min), 6 (11.7%)of them has NEC first few days post stenting, 4( 7.8%) has stent migration, 4( 17.8%) lost follow up , 2 (3.9%)deaths,
Conclusion:
We conclude that PDA stenting is a safe and alternative procedure to Surgical aortopulomnary shunt.