Evidence map›Paper›PMID 35094486›Full record

ArticleCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2022

Use of the Medtronic Microvascular Plug 7Q for transcatheter closure of large patent ductus arteriosus in infants weighing less than 2.5 kg.

Mohamed Al Nasef, Donnchadh O Sullivan, Li Yen Ng, Kevin P Walsh, Paul Oslizlok, Brian McCrossan, Damien Kenny, Shyam Sathanandam

Open access · hybridAbstract read
In one paragraph

Article in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Use of the Medtronic Microvascular Plug 7Q for transcatheter closure of large patent ductus arteriosus in infants weighing less than 2.5 kg.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2022
    Article
  6. Review
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

8 authors at 2 institutions in 2 countries.

Mohamed Al NasefDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.ORCID 0000-0003-0909-6291
Donnchadh O SullivanDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Li Yen NgDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.ORCID 0000-0003-2892-6078
Kevin P WalshDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Paul OslizlokDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.
Brian McCrossanDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.ORCID 0000-0002-1137-7925
Damien KennyDepartment of Paediatric Cardiology, Children's Health Ireland at Crumlin, Dublin, Ireland.ORCID 0000-0002-4279-6102
Shyam SathanandamDepartment of Pediatric Cardiology, Le Bonheur Children's Hospital, Memphis, Tennessee, USA.ORCID 0000-0001-8639-0852
Children's Health Ireland at Crumlin · IELe Bonheur Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe sole Food and Drug Administration-approved device for transcatheter closure of the patent arterial duct in premature infants is indicated for patent ductus arteriosus (PDAs) ≤ 4 mm in diameter. We report a two-center experience with transcatheter closure of large PDAs (>4 mm) in infants weighing <2.5 kg using the Microvascular Plug 7Q (MVP-7Q) device.

methodsThis is a retrospective review of departmental databases and medical charts to define patient cohort and report demographic, procedural, and follow-up data.

resultsTwenty-two patients (12 male) with a median gestational age and birthweight of 25.5 weeks (interquartile range [IQR] = 24-28) and 800 g (572-1075), respectively, underwent attempted PDA occlusion with the MVP-7Q using a transvenous approach. The median age and weight at the time of PDA occlusion was 32 days (IQR = 24-28) and 1100 g (IQR = 960-1700), respectively. The median PDA length was 12 mm (IQR = 11-12.65). The median PDA diameters at the aortic and pulmonary ends were 5.1 (IQR = 4.9-5.5) and 4.8 mm (IQR = 4.6-5.3), respectively. Successful device occlusion was achieved in 20 patients (91%). There were two failed attempts: One due to inappropriate sizing, and the other secondary to left pulmonary artery stenosis. There were no procedural complications and no residual shunting on follow-up.

conclusionsThe MVP-7Q is safe and effective for transcatheter closure of large (>4 mm) PDAs in infants <2.5 kg. The lack of retention disks may help with avoiding impingement on surrounding vessels.

Indexed as

Ductus Arteriosus, PatentSeptal Occluder DeviceCardiac CatheterizationFemaleGestational AgeHumansInfantInfant, NewbornMaleRetrospective StudiesTreatment Outcomecoil/device/transcathetercongenital heart diseaseembolizationendovascularinterventionpediatrics

Identifiers

PMID35094486
PMCPMC9543682
OpenAlexW4210337472

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.