title: Transcatheter closure of patent ductus arteriosus: past, present and future.
abstract: This review aims to describe the past history, present techniques and future directions in transcatheter treatment of patent ductus arteriosus (PDA). Transcatheter PDA closure is the standard of care in most cases and PDA closure is indicated in any patient with signs of left ventricular volume overload due to a ductus. In cases of left-to-right PDA with severe pulmonary arterial hypertension, closure may be performed under specific conditions. The management of clinically silent or very tiny PDAs remains highly controversial. Techniques have evolved and the transcatheter approach to PDA closure is now feasible and safe with current devices. Coils and the Amplatzer Duct Occluder are used most frequently for PDA closure worldwide, with a high occlusion rate and few complications. Transcatheter PDA closure in preterm or low-bodyweight infants remains a highly challenging procedure and further device and catheter design development is indicated before transcatheter closure is the treatment of choice in this delicate patient population. The evolution of transcatheter PDA closure from just 40 years ago with 18F sheaths to device delivery via a 3F sheath is remarkable and it is anticipated that further improvements will result in better safety and efficacy of transcatheter PDA closure techniques.
authors.affiliation: M3C Marie-Lannelongue Hospital, Paediatric and Congenital Cardiac Surgery, Paris Sud University, Paris, France; Inserm UMR 1087, CNRS UMR 6291, l'Institut du Thorax, Nantes University, Nantes, France. Electronic address: a.baruteau@ccml.fr.
authors.forename: Alban-Elouen
authors.initials: AE
authors.lastname: Baruteau
authors.affiliation: M3C CHU Toulouse, Children's Hospital, Paediatric Cardiology, Paul-Sabatier University, Toulouse, France.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Hascoët
authors.affiliation: Great Ormond Street Hospital for Children, Metabolic Medicine Department, University College London, Institute for Women's Health, Gene Therapy Transfer Group, London, UK.
authors.forename: Julien
authors.initials: J
authors.lastname: Baruteau
authors.affiliation: M3C Necker Hospital for Sick Children, Paediatric Cardiology, Paris Descartes University, Paris, France; M3C Georges-Pompidou European Hospital, Adult Congenital Cardiology, Paris, France.
authors.forename: Younes
authors.initials: Y
authors.lastname: Boudjemline
authors.affiliation: M3C Marie-Lannelongue Hospital, Paediatric and Congenital Cardiac Surgery, Paris Sud University, Paris, France; Inserm UMR 999, Marie-Lannelongue Hospital, Paris, France.
authors.forename: Virginie
authors.initials: V
authors.lastname: Lambert
authors.affiliation: M3C Marie-Lannelongue Hospital, Paediatric and Congenital Cardiac Surgery, Paris Sud University, Paris, France.
authors.forename: Claude-Yves
authors.initials: CY
authors.lastname: Angel
authors.affiliation: M3C Marie-Lannelongue Hospital, Paediatric and Congenital Cardiac Surgery, Paris Sud University, Paris, France.
authors.forename: Emre
authors.initials: E
authors.lastname: Belli
authors.affiliation: M3C Marie-Lannelongue Hospital, Paediatric and Congenital Cardiac Surgery, Paris Sud University, Paris, France.
authors.forename: Jérôme
authors.initials: J
authors.lastname: Petit
authors.affiliation: Children's Hospital at Montefiore, Pediatric Cardiology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Pass
mesh_terms: D006328:Cardiac Catheterization / Q000266:history / Q000295:instrumentation / Q000639:trends; D004059:Diffusion of Innovation; D004374:Ductus Arteriosus, Patent / Q000175:diagnosis / Q000266:history / Q000503:physiopathology / Q000628:therapy*; D004867:Equipment Design; D005544:Forecasting; D006439:Hemodynamics; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D016896:Treatment Outcome
keywords: Canal artériel; Cardiologie congénitale adulte; Cardiologie pédiatrique; Fermeture percutanée; Grown-up congenital heart disease; Hypertension pulmonaire; Paediatric cardiology; Patent ductus arteriosus; Percutaneous closure; Pulmonary hypertension