Outcome Transcatheter closure of PDA at

Cipto Mangunkusumo Hospital, Jakarta,

Indonesia: a-14 year experience
Reby Kusumajaya(1) , Mulyadi M. Djer(1) , Sukman T. Putra(1) ,
Najib Advani(1) , Piprim B. Yanuarso(1) , Rubiana Sukardi(2)
Department of Child Health, Faculty of Medicine Universitas Indonesia, Cipto
Mangunkusumo Hospital, Jakarta(1)
Integrated Cardiac Services, Cipto Mangunkusumo Hospital, Jakarta(2)

Background:
Persistent ductus arteriosus (PDA) is a common form of congenital heart disease and forms
about 5-10% of total congenital heart disease. Transcatheter closure of PDA has become the
safe procedure of choice for treatment of PDA without surgery.
Objective:
To determine the outcome of transchateter closure of PDA using different types of devices in
Cipto Mangunkusumo Hospital.
Method:
From 2002-2016 data was retrieved from medical record at the Cipto Mangunkusumo Hospital,
Jakarta. 432 patients who underwent transcatheter closure of PDA, were retrospectively
identified and studied. The PDA was closed by Amplatzer duct occluder I (ADO I), Amplatzer
duct occluder II (ADO II), Amplatzer septal occluder (ASO), Amplatzer membranous VSD
occluder (AMVO), Amplatzer vascular plug, and Nit occlude PFM coil.
Result:

Tabel 1. Baseline characteristics Tabel 2. Proportion of device

Characteris*cs  of  subjects   n= 432   Device   n= 432  
Age, median years   5.29   ADO I   393(91)  
Male   139(32.2)   ADO  II   15(3.5)  
Female   293  (67.8)   Coil   20(4.7)  
Weight, median kilogram   11   Vascular plug   2(0.4)  
Size PDA, median milimeter   3.65   AMVO   1(0.2)  
ASO   1(0.2)  

Tabel 3. Proportion of outcomes Tabel 4. Proportion of outcomes

n= 432   Complica*on   n= 432  
Complete closure   323(74.8)   No complication   273(63.2)  
Smoky  residual   44(10.2)   Temporary bradycardia   6(1.4)  
Small  residual   9(2.1)   SVT   1(0.2)  
Migrated device   2(0.5)   Anemia   11(2.5)  
Minimal bleeding   3(0.7)  

Conclusion:
Transcatheter closure of PDA is safe and effective for closing PDA