Off-label Use of ADO II® in the Closure of Various Congenital Heart Defects

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dc.contributor.authorPamukçu, Özge
dc.contributor.authorSunkak, Süleyman
dc.contributor.authorTunçay, Aydın
dc.contributor.authorErkan, Gözde Nur
dc.contributor.authorBaykan, Ali
dc.contributor.authorNarin, Nazmi
dc.date.accessioned2025-01-21T16:18:53Z
dc.date.available2025-01-21T16:18:53Z
dc.date.issued2022
dc.departmentKırıkkale Üniversitesi
dc.description.abstractDevices may be used for special purposes different than their production purpose. For instance, Amplatzer Ductal Occluder is actually designed for duct closure and its usage for closing defects other than ductus is named as off-label. The aim of this study is to emphasize off-label use of device: not only for VSD but also for other various defects. This study is designed retrospectively, performed by the evaluation catheterization records of patients in whom ADO II and ADO II-AS devices were used in Erciyes University Medical Faculty Children Hospital, Pediatric Cardiology Department between 2011 and 2018. Patients’ demographic criteria: age, weight at the time of procedure was gathered. The diagnosis, size of device, follow-up period and complications were also noted. From April 2011 to March 2018, a total of 122 patients underwent transcatheter closure by ADO II and 66 patients by ADO II AS. The number of PDA closure with ADO II was 48; with ADO II AS were 62. Rest of the procedures were all off-label. Types of off-label procedures performed were: VSD closure, residual mitral cleft closure, Aorta-Right atrium tunnel closure, pulmonary arteriovenous fistula occlusion, aorta-pulmonary window closure, and occlusion of the artery feeding accessory lobe in scimitar syndrome, Gerbode defect occlusion. Up to our knowledge; this study includes the largest pediatric case series with various different congenital heart defects which were closed with ADO II. Also our ADO-II occluded VSD case series is one of the largest series in the literature with almost 6 years’ follow-up. We believe in that ADO-II device may be an alternative in percutaneous closure of various rare heart defects. It is used successfully for non-ductal defects with low complication and high compliance rates.
dc.identifier.doi10.51271/jpea-2022-188
dc.identifier.endpage118
dc.identifier.issn2718-0875
dc.identifier.issue3
dc.identifier.startpage114
dc.identifier.trdizinid1144583
dc.identifier.urihttps://doi.org/10.51271/jpea-2022-188
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1144583
dc.identifier.urihttps://hdl.handle.net/20.500.12587/22936
dc.identifier.volume3
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofThe journal of pediatric academy (Online)
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectPediatri
dc.titleOff-label Use of ADO II® in the Closure of Various Congenital Heart Defects
dc.typeArticle

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