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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cyanotic neonate | Experimental | Cyanotic neonates with PDA dependent pulmonary circulation will be treated with catheter guided PDA stent implantation to keep duct patency and improve oxygen saturation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Catheter-guided PDA stent implantation | Device | PDA stent is the primary treatment for patients with duct-dependent pulmonary circulation. It serves as a temporary bridge for later surgical repair by keeping the duct patent to improve oxygen saturation |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Oxygen saturation | Using pulse oximeter to assess oxygen saturation | Change in oxygen saturation within 24 hours |
| Evaluation of duct patency | Using echocardiography assess flow through the duct | 1 month |
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Inclusion Criteria:
Neonates and young infants with duct dependent pulmonary circulation
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Somaia S Mahmoud, Master | Contact | 201019052097 | somaia_sabry922@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Somaia S Mahmoud, Master | Sohag University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sohag University | Recruiting | Sohag | Egypt |
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