PDA Age Dependent?: Pda closure (age dependent) 1. Premature infants (medical therapy vs surgical ligation by a pediatric cardiothoracic surgeon) 2. Babies to adults: cath lab closure, using a coil or device. Many different types and sizes of coils are available, delivered from a small catheter which is inserted in the femoral artery or vein. Another option for large pdas is an aga PDA device or vascular plug.
Answered 1/12/2015
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Device closure: Pdas can almost always be closed in the catheterization laboratory using a small metal coil or device that can be placed with a catheter placed in the vein or artery in the groin rather than a surgery. In premature infants, it can often be closed with a medication. If this fails, surgery is most often done since they are too small for catheter-based methods. Soon there may be smaller systems.
Answered 1/27/2014
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Depends: In premature infants it is usually closed with medication (indomethacin). In the uncommon premature infant in which it does not work surgical ligation is required. Most pdas that are diagnosed in otherwise healthy children are closed with a catheter based device when they are over 2 years old.
Answered 10/3/2016
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