![]() Next, they will insert an occlusion device through the catheter and into the baby’s PDA. Using X-ray imaging, they will guide the catheter to the heart and locate the PDA. Our interventional cardiologists will insert a catheter into the femoral vein in the baby’s groin. During a PDA closure, our care team will bring your baby into the cath lab, a room dedicated to these types of heart procedures. Transcatheter PDA closures take place at our hospital on the Anschutz Medical Campus. Additionally, our NICU is a nationally recognized leader in caring for premature infants and babies facing critical illness. This means we have more experience and more experts to care for children with heart problems than any other hospital nearby. Here, we are equipped to provide non-surgical PDA closure for neonates as young as 3 days old and as small as 1.54 pounds (700g).Īt Children’s Colorado, our nationally-ranked pediatric Heart Institute cares for more babies and children with congenital heart defects than any other hospital in the region. Our Cardiac Catheterization Program is the only program in Colorado and the surrounding region to offer PDA closure for newborn babies without open-heart surgery. Why choose Children’s Hospital Colorado for PDA closure? Babies who have the non-surgical PDA closure procedure usually recover quickly and with little disruption to their other neonatal care. ![]() Premature babies who have surgery to close their PDA may face a difficult recovery in the Neonatal Intensive Care Unit (NICU). surgical closure of PDAįor many babies, a transcatheter PDA closure is usually preferable to open-heart surgery because it presents less risk and shorter recovery time. This procedure is also called “minimally-invasive PDA closure” or “PDA occlusion.” (Occlusion means blocking or closing a blood vessel.) Transcatheter vs. Specialized heart doctors called pediatric cardiac interventionists use a procedure called cardiac catheterization to place a small device in the vessel, which closes the PDA. Transcatheter closure: Doctors can insert a soft, wire mesh PDA closure device through a catheter (a long, narrow tube) to stop blood flow through a PDA.Ī transcatheter PDA closure is a minimally-invasive (non-surgical) procedure to close the ductus arteriosus.Babies who have heart surgery face more risk and longer recovery time. Open-heart surgery: Doctors can also close a PDA through open-heart surgery, where they open the chest between the ribs to tie off or clamp the duct.Medication: In premature infants, an intravenous (IV) medication called indomethacin may help close a PDA.Observation: Doctors will closely monitor the heart and blood vessel to determine whether the PDA is closing properly or too small to cause a problem.PDA treatment options for premature infants include: A PDA may be present with other congenital heart defects. Premature babies are significantly more likely to have a PDA (between 20% and 60%). A PDA can also cause problems with feeding, weight gain and blood circulation.Īpproximately 1 in 2,000 babies (less than 1%) are born with a PDA. This means that blood vessels in the lungs have to handle more blood than normal, which causes the heart and lungs to overwork and makes breathing more difficult. This is called a patent ductus arteriosus or persistent ductus arteriosus.Ī patent ductus arteriosus (PDA) is a congenital heart defect where the ductus arteriosus stays open and causes oxygen-rich blood to return to the lungs instead of going to the rest of the body. However, in some babies, particularly those born early (premature neonates), this hole remains open. ![]() Under normal circumstances, this vessel closes naturally or becomes tiny within the first few days of life. Babies are born with a natural opening in the heart between the aorta and pulmonary artery called the ductus arteriosus.
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