Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease

Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) w...
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Autor*in:	Dewangga, Made Satria Yudha [verfasserIn] Prakoso, Radityo Rahajoe, Anna Ulfah Lilyasari, Oktavia

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Vascular access Patent ductus arteriosus Safety Efficacy Transcarotid PDA stenting

Anmerkung:	© The Author(s) 2023

Übergeordnetes Werk:	Enthalten in: The Egyptian heart journal - Amsterdam : Elsevier, 2011, 75(2023), 1 vom: 12. Juni
Übergeordnetes Werk:	volume:75 ; year:2023 ; number:1 ; day:12 ; month:06

Links:	Volltext

DOI / URN:	10.1186/s43044-023-00371-4

Katalog-ID:	SPR051879654

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520			\|a Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch.
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allfields	10.1186/s43044-023-00371-4 doi (DE-627)SPR051879654 (SPR)s43044-023-00371-4-e DE-627 ger DE-627 rakwb eng Dewangga, Made Satria Yudha verfasserin (orcid)0000-0001-5490-5196 aut Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. Vascular access (dpeaa)DE-He213 Patent ductus arteriosus (dpeaa)DE-He213 Safety (dpeaa)DE-He213 Efficacy (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 PDA stenting (dpeaa)DE-He213 Prakoso, Radityo (orcid)0000-0003-3345-6314 aut Rahajoe, Anna Ulfah (orcid)0000-0002-6576-2845 aut Lilyasari, Oktavia (orcid)0000-0003-3802-4801 aut Enthalten in The Egyptian heart journal Amsterdam : Elsevier, 2011 75(2023), 1 vom: 12. Juni (DE-627)895191431 (DE-600)2902039-6 2090-911X nnns volume:75 year:2023 number:1 day:12 month:06 https://dx.doi.org/10.1186/s43044-023-00371-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 75 2023 1 12 06
spelling	10.1186/s43044-023-00371-4 doi (DE-627)SPR051879654 (SPR)s43044-023-00371-4-e DE-627 ger DE-627 rakwb eng Dewangga, Made Satria Yudha verfasserin (orcid)0000-0001-5490-5196 aut Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. Vascular access (dpeaa)DE-He213 Patent ductus arteriosus (dpeaa)DE-He213 Safety (dpeaa)DE-He213 Efficacy (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 PDA stenting (dpeaa)DE-He213 Prakoso, Radityo (orcid)0000-0003-3345-6314 aut Rahajoe, Anna Ulfah (orcid)0000-0002-6576-2845 aut Lilyasari, Oktavia (orcid)0000-0003-3802-4801 aut Enthalten in The Egyptian heart journal Amsterdam : Elsevier, 2011 75(2023), 1 vom: 12. Juni (DE-627)895191431 (DE-600)2902039-6 2090-911X nnns volume:75 year:2023 number:1 day:12 month:06 https://dx.doi.org/10.1186/s43044-023-00371-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 75 2023 1 12 06
allfields_unstemmed	10.1186/s43044-023-00371-4 doi (DE-627)SPR051879654 (SPR)s43044-023-00371-4-e DE-627 ger DE-627 rakwb eng Dewangga, Made Satria Yudha verfasserin (orcid)0000-0001-5490-5196 aut Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. Vascular access (dpeaa)DE-He213 Patent ductus arteriosus (dpeaa)DE-He213 Safety (dpeaa)DE-He213 Efficacy (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 PDA stenting (dpeaa)DE-He213 Prakoso, Radityo (orcid)0000-0003-3345-6314 aut Rahajoe, Anna Ulfah (orcid)0000-0002-6576-2845 aut Lilyasari, Oktavia (orcid)0000-0003-3802-4801 aut Enthalten in The Egyptian heart journal Amsterdam : Elsevier, 2011 75(2023), 1 vom: 12. Juni (DE-627)895191431 (DE-600)2902039-6 2090-911X nnns volume:75 year:2023 number:1 day:12 month:06 https://dx.doi.org/10.1186/s43044-023-00371-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 75 2023 1 12 06
allfieldsGer	10.1186/s43044-023-00371-4 doi (DE-627)SPR051879654 (SPR)s43044-023-00371-4-e DE-627 ger DE-627 rakwb eng Dewangga, Made Satria Yudha verfasserin (orcid)0000-0001-5490-5196 aut Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. Vascular access (dpeaa)DE-He213 Patent ductus arteriosus (dpeaa)DE-He213 Safety (dpeaa)DE-He213 Efficacy (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 PDA stenting (dpeaa)DE-He213 Prakoso, Radityo (orcid)0000-0003-3345-6314 aut Rahajoe, Anna Ulfah (orcid)0000-0002-6576-2845 aut Lilyasari, Oktavia (orcid)0000-0003-3802-4801 aut Enthalten in The Egyptian heart journal Amsterdam : Elsevier, 2011 75(2023), 1 vom: 12. Juni (DE-627)895191431 (DE-600)2902039-6 2090-911X nnns volume:75 year:2023 number:1 day:12 month:06 https://dx.doi.org/10.1186/s43044-023-00371-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 75 2023 1 12 06
allfieldsSound	10.1186/s43044-023-00371-4 doi (DE-627)SPR051879654 (SPR)s43044-023-00371-4-e DE-627 ger DE-627 rakwb eng Dewangga, Made Satria Yudha verfasserin (orcid)0000-0001-5490-5196 aut Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. Vascular access (dpeaa)DE-He213 Patent ductus arteriosus (dpeaa)DE-He213 Safety (dpeaa)DE-He213 Efficacy (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 PDA stenting (dpeaa)DE-He213 Prakoso, Radityo (orcid)0000-0003-3345-6314 aut Rahajoe, Anna Ulfah (orcid)0000-0002-6576-2845 aut Lilyasari, Oktavia (orcid)0000-0003-3802-4801 aut Enthalten in The Egyptian heart journal Amsterdam : Elsevier, 2011 75(2023), 1 vom: 12. Juni (DE-627)895191431 (DE-600)2902039-6 2090-911X nnns volume:75 year:2023 number:1 day:12 month:06 https://dx.doi.org/10.1186/s43044-023-00371-4 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 75 2023 1 12 06
language	English
source	Enthalten in The Egyptian heart journal 75(2023), 1 vom: 12. Juni volume:75 year:2023 number:1 day:12 month:06
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institution	findex.gbv.de
topic_facet	Vascular access Patent ductus arteriosus Safety Efficacy Transcarotid PDA stenting
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There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. 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author	Dewangga, Made Satria Yudha
spellingShingle	Dewangga, Made Satria Yudha misc Vascular access misc Patent ductus arteriosus misc Safety misc Efficacy misc Transcarotid misc PDA stenting Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease
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topic_title	Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease Vascular access (dpeaa)DE-He213 Patent ductus arteriosus (dpeaa)DE-He213 Safety (dpeaa)DE-He213 Efficacy (dpeaa)DE-He213 Transcarotid (dpeaa)DE-He213 PDA stenting (dpeaa)DE-He213
topic	misc Vascular access misc Patent ductus arteriosus misc Safety misc Efficacy misc Transcarotid misc PDA stenting
topic_unstemmed	misc Vascular access misc Patent ductus arteriosus misc Safety misc Efficacy misc Transcarotid misc PDA stenting
topic_browse	misc Vascular access misc Patent ductus arteriosus misc Safety misc Efficacy misc Transcarotid misc PDA stenting
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title	Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease
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title_full	Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease
author_sort	Dewangga, Made Satria Yudha
journal	The Egyptian heart journal
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author_browse	Dewangga, Made Satria Yudha Prakoso, Radityo Rahajoe, Anna Ulfah Lilyasari, Oktavia
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title_sort	efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease
title_auth	Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease
abstract	Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. © The Author(s) 2023
abstractGer	Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. © The Author(s) 2023
abstract_unstemmed	Background Minimally invasive transcatheter approaches were usually done for patent ductus arteriosus (PDA) with duct-dependent pulmonary circulation. There are two ways to establish vascular access, by using transfemoral either femoral vein (FV) or femoral artery (FA) and transcarotid artery (CA) with surgical cutdown approach to access the PDA and then provide good support for the balloon and the stent to be safely deployed. This study aims to compare the efficacy and safety of transcarotid with surgical cutdown compared to the transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease. Results Overall procedural complication rates were higher in the FA/FV approach than in the CA approach (51% vs. 30%). The incidence of acute limb ischemia in the FA approach is significantly higher than in the CA approach (P < 0.05). No acute thrombosis/occlusion of the carotid artery was assessed by carotid vascular ultrasound in 2-day series. Conclusions The transcarotid approach with surgical cutdown may offer a secure and more efficient means of accessing the PDA, particularly for those emerging from the underside of the aortic arch. © The Author(s) 2023
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title_short	Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease
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Efficacy and safety of transcarotid compared to transfemoral approach of patent ductus arteriosus stenting in duct-dependent cyanotic heart disease

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