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Transcatheter Closure of Patent Ductus Arteriosus in Children
WHAT YOU NEED TO KNOW:
What do I need to know about transcatheter closure of patent ductus arteriosus (PDA)?
Transcatheter closure of your child's PDA is done to close the opening between your child's aorta and pulmonary artery. Normally, the opening closes shortly after birth. Transcatheter closure may be done if your child is having symptoms. It also may be done to reduce the risk of infection if your child does not have symptoms.
How do I prepare my child for transcatheter closure of PDA?
Your child's healthcare provider will talk to you about how to prepare your child for this procedure. He may tell you that your child should not eat or drink anything after midnight on the day of the procedure. He will tell you what medicines your child should take or not take on the day of the procedure.
What will happen during transcatheter closure?
- General anesthesia will be given to keep your child asleep and free from pain during the procedure. Antibiotics will be given during the procedure to prevent an infection. Catheters will be put into the blood vessels in your child's groin through an incision. The catheters are gently pushed through the blood vessels and into the heart. Your child's healthcare providers may use dye and x-rays during the procedure. The dye helps the pictures show up better. Healthcare providers will use 1 or more tiny coils or a mushroom-shaped device to close your child's PDA. The catheters will be removed after the coils or device are in place. Your child may need 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.
- Your child will have a chest x-ray and an echocardiogram. Healthcare providers will use the results to make sure the coil or the device is in good position.
What will happen after transcatheter closure?
Your child may need to stay in the hospital. Your child may instead get to go home after the procedure.
What are the risks of transcatheter closure?
Your child's PDA may not close completely. Your child may have an infection in his or her heart (endocarditis). Your child may develop blood clots in his or her pulmonary artery. Your child may need another procedure or surgery to remove the coils or the device, and to close the PDA.
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