@Article{chd.12710,
AUTHOR = {Shyam Sathanandam, Ashley Gianinni, Eric Sefton, Kaitlyn Greer, Nathan Stecchi, Kimberly Allen, Ranjit Philip, B. Rush Waller},
TITLE = {Live broadcast of transcatheter PDA closure in a 700 grams ELBW infant during the International PDA Symposium},
JOURNAL = {Congenital Heart Disease},
VOLUME = {14},
YEAR = {2019},
NUMBER = {1},
PAGES = {85--89},
URL = {http://www.techscience.com/chd/v14n1/38743},
ISSN = {1747-0803},
ABSTRACT = {Objective: The objective of this article is to describe a live case transmission of tran‐
scatheter closure of a patent ductus arteriosus (PDA) in an extremely low birth weight
(ELBW) infant during the first International PDA Symposium conducted in Memphis,
Tennessee.
Setting: A multidisciplinary team approach including audiovisual specialists, informa‐
tion technology specialists, physicians, nurses, and other health care specialists was
required to perform the transcatheter PDA closure (TCPC) in an ELBW infant at
LeBonheur Children’s Hospital and the procedure was broadcast live to the attend‐
ees at the International PDA Symposium allowing for a two‐way audiovisual discus‐
sion during the procedure.
Patient: The patient was a 14 days old 24‐week premature ELBW infant, who weighed
700 g at the time of the procedure. The patient was requiring mechanical ventilation
secondary to pulmonary hemorrhage. The PDA measured 4 mm in diameter and 12
mm in length.
Interventions: TCPC was performed safely without any procedural complications
using a specialized minimally invasive technique.
Outcome Measures: The patient was weaned off the ventilator in < 7 days after the
procedure. The child was discharged 9 weeks after the procedure (35 weeks’ cor‐
rected gestation) weighing 2.2 kg, on full oral feeds and no supplemental oxygen.
Results: The successful TCPC allowed for this child to have an uneventful hospital
course. The case also highlights the technical nuances involved in setting up the live
transmission.
Conclusions: This case demonstrated to the audience in the International PDA
Symposium the feasibility and safety of performing TCPC in an ELBW infant. Live
cases are useful in exhibiting the nuances involved in any new technique and allows
for best learning experience.},
DOI = {10.1111/chd.12710}
}