RESUMEN
Objectives: Comparison of effectiveness and cost of transcatheter occlusion of patent ductus arteriosus [DA] with surgical ligation of PDA
Methods: This retrospective comparative study was conducted in the pediatric cardiology department of Ch. Pervaiz Elahi Institute of Cardiology Multan, Pakistan. Data of 250 patients who underwent patent ductus arteriosus [PDA] closure either surgical or trans-catheter closure using SHSMA Occluder having weight >5 kg from April 2012 to October 2015 were included in this study. SPSS version 20 was used for data analysis. Quantitative variables were compared using independent sample t-test. Chi-square test and fishers exact was used for qualitative variables. P-value <0.05 was considered statistically significant
Results: There were one hundred and twenty [120] patients who underwent transcatheter occlusion of PDA using SHSMA occluder [PDA Device Group] and one hundred and thirty [130] patients who underwent surgical ligation of PDA [Surgical Group]
Incidence of residual shunting was two [1.5%] in surgical group and 0 [0.0%] in PDA Device group for one month follow up period
There were 4 [3.1%] major complications in surgical group. The rate of blood transfusions were high in surgical group [p-value 0.04]
Hospital stay time was significantly less in PDA Device group [P-value <0.001]
Total procedural cost was 110695+1054 Pakistani rupees in PDA Device group and 92414+3512 in surgical group [p-value <0.001]
The cost of PDA device closure was 16.52% higher than the surgical ligation of PDA
There was no operative mortality
Conclusion: The transcatheter closure of PDA is an effective and less invasive method as compared to the surgical ligation. There is a lower rate of complications and the cost is not much high as compared to surgical PDA ligation