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Title of Journal: Pediatr Cardiol

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Abbravation: Pediatric Cardiology

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Springer-Verlag

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DOI

10.1007/bf01042609

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1432-1971

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Transcatheter Amplatzer Occlusion and Surgical Clo

Authors: Zhaoyang Chen Lianglong Chen Liming Wu
Publish Date: 2009/04/14
Volume: 30, Issue: 6, Pages: 781-785
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Abstract

The goal of this study was to compare the effectiveness and cost of transcatheter Amplatzer occlusion with those of surgical closure for patent ductus arteriosus PDA in a lowincome country China Although transcatheter Amplatzer occlusion for PDA has been increasingly performed surgical PDA closure is still a routine procedure at many hospitals in China Therefore the selection of treatment modality for patients with PDA who could undergo either treatment option is controversial The treatment of patients with PDA from February 2005 to February 2007 was analyzed retrospectively A total of 130 patients underwent surgical closure for PDA whereas 51 patients underwent Amplatzer occlusion There were no deaths and no residual lefttoright shunting in either group at last followup In total 2 of patients with complications requiring management underwent Amplatzer device closure and 62 surgical closure The mean hospital stay was 36 ± 15 days for the device group and 88 ± 23 days for the surgical group p  0001 The cost with surgical closure was 26 less than that with Amplatzer device closure 138412 ± 36303 vs 187087 ± 18165 Renminbi Chinese currency p  0001 In conclusion although transcatheter Amplatzer device occlusion is as effective as and less invasive than surgical closure for PDA surgical closure is less costly In lowincome countries such as China where healthcare resources are limited PDA closure with the Amplatzer duct occluder device is not costeffective

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