PDA Stenting in a One Day Baby from Venous Route
Keywords:
patent ductus arteriosus, JR-Judkins right, RA-right atrium, RV- right ventricleAbstract
We had a baby one day old having Unbalanced AVSD, large primum ASD and large inlet VSD with small LV, no AV regurgitation, DORV and severe PS with only 2 mm ante grade flow. The PDA got shrunk on 18 hrs of life and baby desaturated so Prostaglandin infusion was started. Baby was taken for PDA stenting through right femoral artery route. However despite using JR and cut pigtail 5 F, the PDA could not be crossed using coronary BMW wire. So right femoral vein was entered with 5F JR and 0.18 BMW 350 cm coronary wire was crossed through the PDA and parked in RPA with the help of microcatheter. Stent DES 3.5x12mm was deployed in the vertical PDA and good flow in branch PAs was achieved.
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Copyright (c) 2023 Asotra Sanjeev, Bisht Dinesh, Ritesh Kumar, Thakur S. Preetam
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