Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative

Holly Bauser-Heaton; Athar M. Qureshi; Bryan H. Goldstein; Andrew C. Glatz; George T. Nicholson; Jeffrey J. Meadows; John S. Depaolo; Varun Aggarwal; Courtney E. McCracken; Emad B. Mossad; Elizabeth C. Wilson; Christopher J. Petit

doi:10.1002/ccd.28631

Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative

Holly Bauser-Heaton, Athar M. Qureshi, Bryan H. Goldstein, Andrew C. Glatz, George T. Nicholson, Jeffrey J. Meadows, John S. Depaolo, Varun Aggarwal, Courtney E. McCracken, Emad B. Mossad, Elizabeth C. Wilson, Christopher J. Petit

Pediatric Cardiology

Research output: Contribution to journal › Article › peer-review

29 Scopus citations

Abstract

BACKGROUND: Carotid artery (CA) and axillary artery (AA) access are increasingly used for transcatheter stenting of the patent ductus arteriosus (PDA), although reports are limited.

METHODS: The Congenital Catheterization Research Collaborative (CCRC) reviewed multicenter data from infants who underwent PDA stenting via the CA or AA approach from 2008 to 2017, and compared outcomes to those of infants undergoing PDA stenting via the femoral artery (FA) approach. Post-procedure ultrasound (US) imaging was reviewed.

RESULTS: Forty-nine infants underwent PDA stenting from the CA (n = 43) or AA (n = 6) approach, compared with 55 infants who underwent PDA stenting from the FA approach. The PDA was the sole pulmonary blood flow (PBF) source in 61% of infants in the CA/AA cohort, compared with 33% of the FA cohort (p < .01). Ductal tortuosity for CA/AA cohort was Type I (straight) in 10 (20%), Type II (one turn) in 17 (35%), and Type III (multiple turns) in 22 (45%) infants and reflected a greater degree of tortuosity when compared to the FA cohort (p < .01). In 17 infants with CA/AA approach, the "flip technique" was used, and was associated with shorter procedure times for highly tortuous PDA (Type III) patients. Rates of procedural complications were similar across access sites. Most common complications were access site injury (thrombus or bleeding) and stent malposition. No complications were specifically related to the "flip technique."

CONCLUSIONS: Use of CA and AA approach for PDA stenting was found to be more commonly employed in sole source PBF and highly tortuous PDAs. Procedural modifications such as the "flip technique" may lead to shorter procedure times. CA and AA approaches are associated with a similar burden of procedural or late complications. Post-procedural surveillance of the CA and AA is suggested, given the incidence of vascular findings on US.

Original language	English (US)
Pages (from-to)	726-733
Number of pages	8
Journal	Catheterization and Cardiovascular Interventions
Volume	95
Issue number	4
DOIs	https://doi.org/10.1002/ccd.28631
State	Published - Mar 1 2020

Bibliographical note

Publisher Copyright:
© 2019 Wiley Periodicals, Inc.

Keywords

PDA stenting
axillary access
carotid access
Catheterization, Peripheral/adverse effects
United States
Ductus Arteriosus, Patent/diagnostic imaging
Humans
Punctures
Ultrasonography, Interventional
Male
Palliative Care
Treatment Outcome
Femoral Artery/diagnostic imaging
Carotid Arteries/diagnostic imaging
Pulmonary Circulation
Cardiac Catheterization/adverse effects
Female
Retrospective Studies
Stents
Infant, Newborn
Axillary Artery/diagnostic imaging

PubMed: MeSH publication types

Multicenter Study
Journal Article
Comparative Study

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Publisher link

10.1002/ccd.28631

Find It

Find It at U of M Libraries

Fingerprint

Dive into the research topics of 'Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative'. Together they form a unique fingerprint.

Cite this

Bauser-Heaton, H., Qureshi, A. M., Goldstein, B. H., Glatz, A. C., Nicholson, G. T., Meadows, J. J., Depaolo, J. S., Aggarwal, V., McCracken, C. E., Mossad, E. B., Wilson, E. C., & Petit, C. J. (2020). Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative. Catheterization and Cardiovascular Interventions, 95(4), 726-733. https://doi.org/10.1002/ccd.28631

Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative. / Bauser-Heaton, Holly; Qureshi, Athar M.; Goldstein, Bryan H. et al.
In: Catheterization and Cardiovascular Interventions, Vol. 95, No. 4, 01.03.2020, p. 726-733.

Research output: Contribution to journal › Article › peer-review

Bauser-Heaton, H, Qureshi, AM, Goldstein, BH, Glatz, AC, Nicholson, GT, Meadows, JJ, Depaolo, JS, Aggarwal, V, McCracken, CE, Mossad, EB, Wilson, EC & Petit, CJ 2020, 'Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative', Catheterization and Cardiovascular Interventions, vol. 95, no. 4, pp. 726-733. https://doi.org/10.1002/ccd.28631

Bauser-Heaton H, Qureshi AM, Goldstein BH, Glatz AC, Nicholson GT, Meadows JJ et al. Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative. Catheterization and Cardiovascular Interventions. 2020 Mar 1;95(4):726-733. doi: 10.1002/ccd.28631

Bauser-Heaton, Holly ; Qureshi, Athar M. ; Goldstein, Bryan H. et al. / Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow : A multicenter study from the congenital catheterization research collaborative. In: Catheterization and Cardiovascular Interventions. 2020 ; Vol. 95, No. 4. pp. 726-733.

@article{ee316350e0af49fc8b34fca31cc06364,

title = "Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative",

abstract = "BACKGROUND: Carotid artery (CA) and axillary artery (AA) access are increasingly used for transcatheter stenting of the patent ductus arteriosus (PDA), although reports are limited.METHODS: The Congenital Catheterization Research Collaborative (CCRC) reviewed multicenter data from infants who underwent PDA stenting via the CA or AA approach from 2008 to 2017, and compared outcomes to those of infants undergoing PDA stenting via the femoral artery (FA) approach. Post-procedure ultrasound (US) imaging was reviewed.RESULTS: Forty-nine infants underwent PDA stenting from the CA (n = 43) or AA (n = 6) approach, compared with 55 infants who underwent PDA stenting from the FA approach. The PDA was the sole pulmonary blood flow (PBF) source in 61% of infants in the CA/AA cohort, compared with 33% of the FA cohort (p < .01). Ductal tortuosity for CA/AA cohort was Type I (straight) in 10 (20%), Type II (one turn) in 17 (35%), and Type III (multiple turns) in 22 (45%) infants and reflected a greater degree of tortuosity when compared to the FA cohort (p < .01). In 17 infants with CA/AA approach, the {"}flip technique{"} was used, and was associated with shorter procedure times for highly tortuous PDA (Type III) patients. Rates of procedural complications were similar across access sites. Most common complications were access site injury (thrombus or bleeding) and stent malposition. No complications were specifically related to the {"}flip technique.{"}CONCLUSIONS: Use of CA and AA approach for PDA stenting was found to be more commonly employed in sole source PBF and highly tortuous PDAs. Procedural modifications such as the {"}flip technique{"} may lead to shorter procedure times. CA and AA approaches are associated with a similar burden of procedural or late complications. Post-procedural surveillance of the CA and AA is suggested, given the incidence of vascular findings on US.",

keywords = "PDA stenting, axillary access, carotid access, Catheterization, Peripheral/adverse effects, United States, Ductus Arteriosus, Patent/diagnostic imaging, Humans, Punctures, Ultrasonography, Interventional, Male, Palliative Care, Treatment Outcome, Femoral Artery/diagnostic imaging, Carotid Arteries/diagnostic imaging, Pulmonary Circulation, Cardiac Catheterization/adverse effects, Female, Retrospective Studies, Stents, Infant, Newborn, Axillary Artery/diagnostic imaging",

author = "Holly Bauser-Heaton and Qureshi, {Athar M.} and Goldstein, {Bryan H.} and Glatz, {Andrew C.} and Nicholson, {George T.} and Meadows, {Jeffrey J.} and Depaolo, {John S.} and Varun Aggarwal and McCracken, {Courtney E.} and Mossad, {Emad B.} and Wilson, {Elizabeth C.} and Petit, {Christopher J.}",

note = "Publisher Copyright: {\textcopyright} 2019 Wiley Periodicals, Inc.",

year = "2020",

month = mar,

day = "1",

doi = "10.1002/ccd.28631",

language = "English (US)",

volume = "95",

pages = "726--733",

journal = "Catheterization and Cardiovascular Interventions",

issn = "1522-1946",

publisher = "John Wiley and Sons Inc.",

number = "4",

}

TY - JOUR

T1 - Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow

T2 - A multicenter study from the congenital catheterization research collaborative

AU - Bauser-Heaton, Holly

AU - Qureshi, Athar M.

AU - Goldstein, Bryan H.

AU - Glatz, Andrew C.

AU - Nicholson, George T.

AU - Meadows, Jeffrey J.

AU - Depaolo, John S.

AU - Aggarwal, Varun

AU - McCracken, Courtney E.

AU - Mossad, Emad B.

AU - Wilson, Elizabeth C.

AU - Petit, Christopher J.

PY - 2020/3/1

Y1 - 2020/3/1

N2 - BACKGROUND: Carotid artery (CA) and axillary artery (AA) access are increasingly used for transcatheter stenting of the patent ductus arteriosus (PDA), although reports are limited.METHODS: The Congenital Catheterization Research Collaborative (CCRC) reviewed multicenter data from infants who underwent PDA stenting via the CA or AA approach from 2008 to 2017, and compared outcomes to those of infants undergoing PDA stenting via the femoral artery (FA) approach. Post-procedure ultrasound (US) imaging was reviewed.RESULTS: Forty-nine infants underwent PDA stenting from the CA (n = 43) or AA (n = 6) approach, compared with 55 infants who underwent PDA stenting from the FA approach. The PDA was the sole pulmonary blood flow (PBF) source in 61% of infants in the CA/AA cohort, compared with 33% of the FA cohort (p < .01). Ductal tortuosity for CA/AA cohort was Type I (straight) in 10 (20%), Type II (one turn) in 17 (35%), and Type III (multiple turns) in 22 (45%) infants and reflected a greater degree of tortuosity when compared to the FA cohort (p < .01). In 17 infants with CA/AA approach, the "flip technique" was used, and was associated with shorter procedure times for highly tortuous PDA (Type III) patients. Rates of procedural complications were similar across access sites. Most common complications were access site injury (thrombus or bleeding) and stent malposition. No complications were specifically related to the "flip technique."CONCLUSIONS: Use of CA and AA approach for PDA stenting was found to be more commonly employed in sole source PBF and highly tortuous PDAs. Procedural modifications such as the "flip technique" may lead to shorter procedure times. CA and AA approaches are associated with a similar burden of procedural or late complications. Post-procedural surveillance of the CA and AA is suggested, given the incidence of vascular findings on US.

AB - BACKGROUND: Carotid artery (CA) and axillary artery (AA) access are increasingly used for transcatheter stenting of the patent ductus arteriosus (PDA), although reports are limited.METHODS: The Congenital Catheterization Research Collaborative (CCRC) reviewed multicenter data from infants who underwent PDA stenting via the CA or AA approach from 2008 to 2017, and compared outcomes to those of infants undergoing PDA stenting via the femoral artery (FA) approach. Post-procedure ultrasound (US) imaging was reviewed.RESULTS: Forty-nine infants underwent PDA stenting from the CA (n = 43) or AA (n = 6) approach, compared with 55 infants who underwent PDA stenting from the FA approach. The PDA was the sole pulmonary blood flow (PBF) source in 61% of infants in the CA/AA cohort, compared with 33% of the FA cohort (p < .01). Ductal tortuosity for CA/AA cohort was Type I (straight) in 10 (20%), Type II (one turn) in 17 (35%), and Type III (multiple turns) in 22 (45%) infants and reflected a greater degree of tortuosity when compared to the FA cohort (p < .01). In 17 infants with CA/AA approach, the "flip technique" was used, and was associated with shorter procedure times for highly tortuous PDA (Type III) patients. Rates of procedural complications were similar across access sites. Most common complications were access site injury (thrombus or bleeding) and stent malposition. No complications were specifically related to the "flip technique."CONCLUSIONS: Use of CA and AA approach for PDA stenting was found to be more commonly employed in sole source PBF and highly tortuous PDAs. Procedural modifications such as the "flip technique" may lead to shorter procedure times. CA and AA approaches are associated with a similar burden of procedural or late complications. Post-procedural surveillance of the CA and AA is suggested, given the incidence of vascular findings on US.

KW - PDA stenting

KW - axillary access

KW - carotid access

KW - Catheterization, Peripheral/adverse effects

KW - United States

KW - Ductus Arteriosus, Patent/diagnostic imaging

KW - Humans

KW - Punctures

KW - Ultrasonography, Interventional

KW - Male

KW - Palliative Care

KW - Treatment Outcome

KW - Femoral Artery/diagnostic imaging

KW - Carotid Arteries/diagnostic imaging

KW - Pulmonary Circulation

KW - Cardiac Catheterization/adverse effects

KW - Female

KW - Retrospective Studies

KW - Stents

KW - Infant, Newborn

KW - Axillary Artery/diagnostic imaging

UR - http://www.scopus.com/inward/record.url?scp=85076572034&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85076572034&partnerID=8YFLogxK

U2 - 10.1002/ccd.28631

DO - 10.1002/ccd.28631

M3 - Article

C2 - 31815357

AN - SCOPUS:85076572034

SN - 1522-1946

VL - 95

SP - 726

EP - 733

JO - Catheterization and Cardiovascular Interventions

JF - Catheterization and Cardiovascular Interventions

IS - 4

ER -

Use of carotid and axillary artery approach for stenting the patent ductus arteriosus in infants with ductal-dependent pulmonary blood flow: A multicenter study from the congenital catheterization research collaborative

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

Publisher link

Find It

Other files and links

Fingerprint

Cite this