Coil Occlusion For Patent Ductus Arteriosus Closure In Children

WHAT YOU SHOULD KNOW:

Patent ductus arteriosus (PDA) coil occlusion is a procedure to close the opening between your child's aorta and pulmonary artery.

AFTER YOU LEAVE:

Medicines:

  • Antibiotics may be given to help prevent a heart infection called bacterial endocarditis. Your child may need to take antibiotics before dental or other procedures for up to 6 months after his PDA closure. Tell all caregivers about your child's PDA procedure. Your child should always take antibiotics as directed by his primary healthcare provider (PHP) or cardiologist.

  • Give your child's medicine as directed. Call your child's PHP if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency. Throw away old medicine lists.

  • Do not give aspirin to children younger than 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.

Follow up with your child's PHP or cardiologist as directed:

Write down your questions so you remember to ask them during your visits.

Activity:

Encourage your child to rest as much as possible for at least 2 days after a PDA closure. Ask when your child can return to his normal daily activities.

Bathing:

You may give your child a sponge bath or shower after your child goes home. Do not let your child take a bath or go swimming until the scabs fall off the area where the catheter was placed. This usually takes about 1 week.

Wound care:

Carefully wash your child's wound with soap and water. Dry the area and put on new, clean bandages as directed. Change your child's bandages when they get wet or dirty. Dress your child in loose clothing for the first few days after the PDA closure. This will keep the skin around the catheter wound from being irritated while it heals. It is normal for your child to have a small amount of bruising and soreness where the catheter was placed.

Contact your child's PHP or cardiologist if:

  • Your child has a fever or chills.

  • You have questions or concerns about your child's condition or care.

Seek care immediately or call 911 if:

  • Your child has any of the following signs of a stroke:

    • Part of his face droops or is numb

    • Weakness in an arm or leg

    • Confusion or difficulty speaking

    • Dizziness, a severe headache, or vision loss

  • Your child feels lightheaded, short of breath, and has chest pain.

  • Your child coughs up blood.

  • Your child starts to bleed from his catheter site.

  • The bruise where the catheter was placed gets bigger.

  • The limb where the catheter was placed is numb, painful, or changes color.

  • Your child's wound is red, swollen, or draining pus.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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