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Arkhipov A.N.

Academician E.N. Meshalkin National medical research center, Novosibirsk, Russia

Omel'chenko A.Iu.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava Rossii

Zubritskiy A.V.

Meshalkin National Medical Research Center, Ministry of Health of the Russia, Novosibirsk, Russia

Khapaev T.S.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava Rossii

Soynov I.A.

Meshalkin Novosibirsk National Medical Research Center of Healthcare Ministry of Russia, Novosibirsk, Russia, Federal Center for Cardiovascular Surgery of Healthcare Ministry of Russia, Perm, Russia, Topchibashov Research Center for Surgery of Healthcare Ministry of Azerbaijan, Baku, Azerbaijan

Ivantsov S.M.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina MZ RF

Pavlushin P.M.

Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

Bogachev-Prokof'ev A.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Karas'kov A.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Thoracoscopic clipping of patent ductus arteriosus: position of surgery in the era of transcatheter procedures

Authors:

Arkhipov A.N., Omel'chenko A.Iu., Zubritskiy A.V., Khapaev T.S., Soynov I.A., Ivantsov S.M., Pavlushin P.M., Bogachev-Prokof'ev A.V., Karas'kov A.M.

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Journal: Pirogov Russian Journal of Surgery. 2019;(2): 5‑12

DOI: 10.17116/hirurgia20190215

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Table of contents

THORACOSCOPIC CLIPPING OF PATENT DUCTUS ARTERIOSUS: POSITION OF SURGERY IN THE ERA OF TRANSCATHETER PROCEDURES
THORACOSCOPIC CLIPPING OF PATENT DUCTUS ARTERIOSUS: POSITION OF SURGERY IN THE ERA OF TRANSCATHETER PROCEDURES

To cite this article:

Arkhipov AN, Omel'chenko AIu, Zubritskiy AV, et al. . Thoracoscopic clipping of patent ductus arteriosus: position of surgery in the era of transcatheter procedures. Pirogov Russian Journal of Surgery. 2019;(2):5‑12. (In Russ.)
https://doi.org/10.17116/hirurgia20190215

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Aim — to describe single-center evolution of the procedure and to evaluate the results of thoracoscopic clipping of patent ductus arteriosus (PDA) with diameter over 3,0 mm in term infants weighting over 4,0 kg. Material and methods. Thoracoscopic clipping of PDA has been performed in 140 patients for the period from March 2012 to March 2018 in Meshalkin National Medical Research Center. Mean age was 4.0 years (range 3 months — 13 years), mean body mass index — 15.4±2.2 kg/m2. Inclusion criteria: PDA size 3.5—10 mm, Qp/Qs >1,3/1,0, weight 4.0—40 kg. Mean PDA size was 4.6±0.9 mm (range 3.5—8.0 mm), mean pulmonary artery pressure — 34.3±5.8 mm Hg, mean systemic/pulmonary flow Qp/Qs — 1.6±0.3. All patients underwent successful PDA closure through four-port technique under endotracheal general anesthesia and no need for pleural drainage. Results. Mean procedure time was 24.5±15.5 min. In 29 (20,7%) cases we used titanium clips, in 11 (79.3%) — polymer locking ligating clips. There was 1 conversion to mini-thoracotomy. There were no deaths, bleeding or any other life-threatening complications. 94 (67.1%) patients were weaned from ventilator within operating theatre, in other 46 (32.9%) patients mean ventilation time in ICU was 1.3±1.0 hours. In-hospital postoperative complications: pneumothorax — 2 (1.4%) cases, recurrent laryngeal nerve dysfunction — 1 (0.7%), false croup — 1 (0.7%). There were 2 residual leakages in 2 (1.4%) patients in 10 and 6 months after titanium clip deployment. Both of them underwent transcatheter closure using the coil. Considering these cases all following patients underwent PDA closure by polymer locking ligating clips with no cases of residual leakage. Conclusion. Thoracoscopic PDA closure by polymer locking ligating clip is safe and effective technique for surgical management of PDA with diameter over 3.0 mm in term infants weighting over 4.0 kg.

Keywords:

congenital heart disease
patent ductus arteriosus
thoracoscopic clipping
minimally invasive surgery

Authors:

Arkhipov A.N.

Academician E.N. Meshalkin National medical research center, Novosibirsk, Russia

Omel'chenko A.Iu.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava Rossii

Zubritskiy A.V.

Meshalkin National Medical Research Center, Ministry of Health of the Russia, Novosibirsk, Russia

Khapaev T.S.

FGBU "Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdrava Rossii

Soynov I.A.

Meshalkin Novosibirsk National Medical Research Center of Healthcare Ministry of Russia, Novosibirsk, Russia, Federal Center for Cardiovascular Surgery of Healthcare Ministry of Russia, Perm, Russia, Topchibashov Research Center for Surgery of Healthcare Ministry of Azerbaijan, Baku, Azerbaijan

Ivantsov S.M.

Novosibirskiĭ nauchno-issledovatel'skiĭ institut patologii krovoobrashcheniia im. akad. E.N. Meshalkina MZ RF

Pavlushin P.M.

Meshalkin National Medical Research Center of Healthcare Ministry of the Russian Federation, Novosibirsk, Russia

Bogachev-Prokof'ev A.V.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

Karas'kov A.M.

FGBU "Novosibirskiĭ NII patologii krovoobrashcheniia im. akad. E.N. Meshalkina" Minzdravsotsrazvitiia Rossii

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