Key result
PDA device closure succeeds via femoral approaches in 4 patients with interrupted IVC.
Why the study?
Interrupted inferior vena cava with azygous continuation poses technical challenges for percutaneous PDA device closure via femoral access.
Is PDA device closure via the femoral route feasible and safe in patients with interrupted inferior vena cava?
Case Report (n=4)
Is PDA device closure via the femoral route feasible and safe in patients with interrupted inferior vena cava?
PDA device closure can be successfully performed via the femoral route in patients with interrupted IVC using either retrograde or anterograde approaches.
May support femoral PDA closure in interrupted IVC; hypothesis-generating and should not yet change practice.
Interrupted inferior vena cava (IVC) with azygous continuation provides technical challenge in many percutaneous cardiac interventions. They are performed via the femoral venous access route. We describe four such cases in whom, patent ductus arteriosus (PDA) device closure was done in interrupted IVC. All the four cases were done using the femoral route. Two cases were done via retrograde approach through femoral artery access, in which one was closed with a muscular VSD device and the other with a Gianturco coil. The introduction of newer closure devices helps in the retrograde approach. Two cases were done via anterograde approach through the femoral venous route, with a loop through the azygous vein. One child had transient bradycardia due to cardiac stretch which normalized after the device deployment and introducer system removal. Thus, we describe different femoral approaches in interrupted IVC patients for PDA closure, with the difficulties faced and the complications managed.
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Rajan et al. (2021) conducted a case report in Patent ductus arteriosus with interrupted inferior vena cava (n=4). Patent ductus arteriosus device closure was evaluated. Patent ductus arteriosus device closure was successfully performed in four patients with interrupted inferior vena cava using retrograde and anterograde femoral approaches.
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