Evidence map›Paper›PMID 32433821›Full record

Trial reportCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2020

Amplatzer Piccolo Occluder clinical trial for percutaneous closure of the patent ductus arteriosus in patients ≥700 grams.

Shyam K Sathanandam, Dan Gutfinger, Laura O'Brien, Thomas J Forbes, Matthew J Gillespie, Darren P Berman, Aimee K Armstrong, Shabana Shahanavaz, Thomas K Jones, Brian H Morray and 4 more

Registry-linked trialOpen access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03055858 (AMPLATZER Duct Occluder II Additional Sizes Clinical Study), which is not on this map. Cited by 85 papers.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed
9.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03055858 nacompletednot on this map

AMPLATZER Duct Occluder II Additional Sizes Clinical Study

TypeinterventionalSponsorAbbott Medical DevicesRan2017 to 2022Enrolled200ConditionsPatent Ductus ArteriosusArmsADO II AS (PDA closure)
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 164 citations in OpenAlex.

  1. Amplatzer Piccolo Occluder clinical trial for percutaneous closure of the patent ductus arteriosus in patients ≥700 grams.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2020
    Trial
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  4. Cardiac Interventions in Neonates: State of the Art.Indian journal of pediatrics · 2026
    Review
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25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 10 institutions in 1 country.

Shyam K SathanandamLeBonheur Children's Hospital, University of Tennessee, Memphis, Tennessee, USA.ORCID 0000-0001-8639-0852
Dan GutfingerAbbott Structural Heart, Santa Clara, California, USA.
Laura O'BrienAbbott Structural Heart, Santa Clara, California, USA.
Thomas J ForbesChildren's Hospital of Michigan, Detroit, Michigan, USA.
Matthew J GillespieChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Darren P BermanNationwide Children's Hospital, Columbus, Ohio, USA.
Aimee K ArmstrongNationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0002-4534-5075
Shabana ShahanavazSt. Louis Children's Hospital, St. Louis, Missouri, USA.ORCID 0000-0003-1620-9709
Thomas K JonesSeattle Children's Hospital, Seattle, WA, USA.
Brian H MorraySeattle Children's Hospital, Seattle, WA, USA.ORCID 0000-0001-7587-7518
Toby A RockefellerSt. Louis Children's Hospital, St. Louis, Missouri, USA.ORCID 0000-0002-5628-1775
Henri JustinoTexas Children's Hospital, Houston, Texas, USA.
David G NykanenArnold Palmer Hospital, Orlando, Florida, USA.
Evan M ZahnCedars-Sinai Medical Center, Los Angeles, California, USA.
Abbott (United States) · USNationwide Children's Hospital · USSeattle Children's Hospital · USSt. Louis Children's Hospital · USArnold Palmer Hospital for Children · USCedars-Sinai Medical Center · USChildren's Hospital of Michigan · USChildren's Hospital of Philadelphia · USLe Bonheur Children's Hospital · USTexas Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCharacterize the safety and effectiveness of the Amplatzer Piccolo Occluder for patent ductus arteriosus (PDA) closure.

backgroundThe presence of a hemodynamically significant PDA has been associated with an increased risk of morbidity and mortality in children born premature.

methodsThis was a single arm, prospective, multicenter, non-randomized study to evaluate the Amplatzer Piccolo Occluder to treat PDA in patients ≥700 g. From June 2017 to February 2019, 200 patients were enrolled at nine centers, with 100 patients weighing ≤2 kg. Primary effectiveness endpoint was the rate of PDA closure at 6-month follow-up. Primary safety endpoint was the rate of major complications through 6 months. Secondary endpoint was rate of significant pulmonary or aortic obstruction through 6 months' follow-up.

resultsThe implant success rate was 95.5% (191/200) overall and 99% in patients ≤2 kg (99/100). The primary effectiveness endpoint was achieved in 99.4% of implanted patients. Four patients experienced a primary safety endpoint event (2 transfusions, 1 hemolysis, and 1 aortic obstruction). There were no branch pulmonary artery obstructions. Five patients, all ≤2 kg, were noted to have worsening of tricuspid regurgitation (TR) after the procedure. None of the TR incidences manifested clinically. The Amplatzer Piccolo Occluder received FDA approval in January 2019 and became the first device approved for PDA closure in patients ≥700 g.

conclusionsThis study supports the safety and effectiveness of the Amplatzer Piccolo Occluder, particularly in patients between 700 g and 2 kg where there is currently a significant unmet need in the United States. ClinicalTrials.gov identifier: NCT03055858.

Indexed as

Infant, Extremely PrematureInfant, Very Low Birth WeightSeptal Occluder DeviceBirth WeightCardiac CatheterizationCoronary CirculationDuctus Arteriosus, PatentFemaleGestational AgeHemodynamicsHumansInfant, NewbornMaleProspective StudiesProsthesis DesignTime FactorsADO II ASAmplatzer Piccolo OccluderFDApatent ductus arteriosusprematuritytranscatheter closure

Identifiers

PMID32433821
PMCPMC7754477
OpenAlexW3027665709

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.