Techniques and Outcomes of Patent Ductus Arteriosus Transcatheter Closure: Comparison between Adult and Pediatric Patients

doi:10.21608/ejhm.2025.446898

Techniques and Outcomes of Patent Ductus Arteriosus Transcatheter Closure: Comparison between Adult and Pediatric Patients

Document Type : Original Article

10.21608/ejhm.2025.446898

Abstract

Background: Although patent ductus arteriosus (PDA) transcatheter closure has been shown to be an efficient substitute to surgical approach in infants, there is no much available data about PDA transcatheter closure in adult patients.
Objectives: This study aimed to compare between PDA transcatheter closure in adults and pediatrics regarding duct morphology, procedural aspects and postprocedural outcomes.
Subjects and methods: 60 PDA patients, who were referred to National Heart Institute for PDA transcatheter closure, were included in this retrospective observational study. They were divided into three age-based groups: Group I (Pediatrics, less than 10 years), group II (Adolescents, ages 10-19), and group III (Adults, 20 years and older).
Results: Successful PDA closure was achieved in all cases of the study with no complications. However, statistically significant differences were observed between the three groups regarding procedural approach, duct size and device type.
Conclusions: Transcatheter PDA closure in adults can be technically more challenging as the hemodynamics and the morphological characteristics of PDA in adults might differ from those in pediatrics and adolescents.

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