PDA Stent in Neonates With PDA Dependent Pulmonary Circulation
- 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
Neonates and young infants with duct dependent pulmonary circulation
- Untreated sepsis.
- Coagulopathy.
- PDA dependent systemic circulation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Cyanotic neonate Catheter-guided PDA stent implantation Cyanotic 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
Name Time Method Change in Oxygen saturation Change in oxygen saturation within 24 hours Using pulse oximeter to assess oxygen saturation
Evaluation of duct patency 1 month Using echocardiography assess flow through the duct
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Sohag University
🇪🇬Sohag, Egypt