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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.

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

Risks

  • Catheters may cause bleeding, bruising, and soreness around the area where they were placed. Your child could bleed more than expected or get an infection. He may also need surgery to repair the PDA. Your child could get air bubbles in his blood or a blood clot. Air bubbles and blood clots can cause a stroke. Fluid could build up in your child's lungs and cause trouble breathing. These problems may become life-threatening.

  • Your child may get a pneumothorax. This happens when air gets inside the space between his lungs and chest wall. Your child could have an allergic reaction or kidney problems from the dye used during the procedure. The coil could move out of place and your child may need surgery to remove the coil and repair the PDA. Without this procedure, your child's symptoms could get worse. Your child may develop heart failure and his lungs could be damaged. These problems may be life-threatening.

Getting Ready

The week before your child's procedure:

  • Write down the correct date, time, and location of your child's procedure.

  • When you take your child to see his caregiver, bring a list of his medicines or the medicine bottles. Tell caregivers if your child uses herbs, food supplements, or over-the-counter medicine. If your child is allergic to any medicine, tell his caregiver.

  • Your child may need an echocardiogram, EKG, or chest x-ray before his procedure. Ask your child's caregiver for information about these and other tests he may need. Write down the date, time, and location of each test.

The night before your child's procedure:

Ask caregivers about directions for eating and drinking.

The day of your child's procedure:

  • Ask your child's caregiver before you give your child any medicine on the day of procedure. These medicines include diabetes pills, insulin, or heart pills. Bring a list of your child's medicines or the pill bottles with you to the hospital.

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery on your child. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • An anesthesiologist will talk to you and your child before the surgery. Your child may need medicine to keep him asleep or numb an area of his body during surgery. Tell caregivers if anyone in your family has had a problem with anesthesia in the past.

  • Caregivers will put an IV tube into your child's vein. A vein in the arm is usually chosen. Your child may be given liquids and medicine through the IV.

Treatment

What will happen:

General anesthesia will be given to keep your child asleep and free from pain during the procedure. Catheters will be put into the blood vessels in your child's groin, neck, or arm through an incision. The catheters are gently pushed through the blood vessels and heart. Your child's caregivers may use dye and x-rays during the procedure. The dye helps the pictures show up better. Caregivers will use 1 or more tiny coils to close your child's PDA. The catheters will be removed after the PDA is closed. Your child may have stitches to stop the bleeding. A pressure bag or bandage may also be put on the incisions for 2 or more hours to help stop bleeding.

After your child's procedure:

Your child will be taken to a room to rest. Your child will need to lie flat and keep his leg or arm still for about 4 hours. This helps prevent bleeding. Do not let your child get out of bed until caregivers say it is okay. When caregivers see that he is okay, he will be taken to his room.

Contact a caregiver if

  • Your child cannot make it to his procedure.

  • Your child has a fever.

  • Your child has a cold or the flu.

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

Seek Care Immediately if

  • The problems for which your child is having the procedure get worse.

© 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.

Learn more about Coil Occlusion For Patent Ductus Arteriosus Closure In Children (Precare)

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