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PDA Stent in Neonates With PDA Dependent Pulmonary Circulation

Not Applicable
Recruiting
Conditions
Neonatal Cyanosis Due to PDA Dependent Pulmonary Circulation
Interventions
Device: Catheter-guided PDA stent implantation
Registration Number
NCT05857293
Lead Sponsor
Sohag University
Brief Summary

After echocardiography confirmation of PDA dependent pulmonary circulation in cyanotic neonates, catheter-guided PDA stent implantation will be done. Under general Anasthesia and after discontinuation of prostaglandin 4-6 hours before procedure, obtain vascular access and unfractionated heparin is given, then duct is accessed via a cut pig-tail or Judkins right \[JR\] catheter, and is crossed by PTCA wire to be carefully placed in the left or right branch pulmonary arteries, choose proper stent diameter and length, place the stent and confirm it's position, NICU admission for the neonate with heparin infusion for 24-48 hrs and acetylsalicylic acid is given then follow up the patient by pulse oximeter and echocardiography

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
20
Inclusion Criteria

Neonates and young infants with duct dependent pulmonary circulation

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Exclusion Criteria
  • Untreated sepsis.
  • Coagulopathy.
  • PDA dependent systemic circulation.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Cyanotic neonateCatheter-guided PDA stent implantationCyanotic neonates with PDA dependent pulmonary circulation will be treated with catheter guided PDA stent implantation to keep duct patency and improve oxygen saturation
Primary Outcome Measures
NameTimeMethod
Change in Oxygen saturationChange in oxygen saturation within 24 hours

Using pulse oximeter to assess oxygen saturation

Evaluation of duct patency1 month

Using echocardiography assess flow through the duct

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Sohag University

🇪🇬

Sohag, Egypt

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