ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Carotid artery cut-down technique for ductus arteriosus stenting
Serdar Basgoze1, Ender Odemis2, Akif Onalan1, Bahar Temur1, Selim Aydın1, Fusun Guzelmeric4, Ayhan Cevik3, Ersin Erek1
1Department of Pediatric Cardiovascular Surgery, Acıbadem Mehmet Ali Aydınlar University Atakent Hospital, Istanbul, Türkiye
2Department of Pediatric Cardiology, Koç University Faculty of Medicine, Istanbul, Türkiye
3Department of Cardiovascular Surgery, Acıbadem Mehmet Ali Aydınlar University Atakent Hospital, Istanbul, Türkiye
4Department of Anesthesiology and Reanimation, Acıbadem Mehmet Ali Aydınlar University Atakent Hospital, Istanbul, Türkiye
5Department of Pediatric Cardiology, Acıbadem Mehmet Ali Aydınlar University Atakent Hospital, Istanbul, Türkiye
DOI : 10.5606/tgkdc.dergisi.2023.24598
Background: This study aims to evaluate early and mid-term outcomes of ductal stenting via carotid artery surgical cut-down technique in neonates.

Methods: Between January 2015 and January 2022, a total of 17 neonates (12 males, 5 females; median age: 14 days, range, 5 to 34 days) who underwent carotid artery surgical cut-down technique for ductal stenting were retrospectively analyzed. Diagnoses of the patients, demographics, procedural success/failure, access-related complications, and neuroimaging findings were recorded.

Results: The primary indication for ductal stenting was pulmonary atresia in all patients. All patients who underwent carotid cut-down had vertical anatomy, with or without tortuous ductal anatomy, and they were not suitable for the femoral approach. The median body weight was 3 (range, 2 to 3.4) kg. Fifteen of the 17 interventions (88.2%) were successful. Two patients whose stenting failed underwent a systemic-to-pulmonary shunt operation. The early in-hospital mortality rate was 17.6% (n=3). No neurological or accessrelated complications were observed in any of the patients.

Conclusion: Stenting the ductus arteriosus with challenging anatomy is feasible and safe with carotid artery cut-down, particularly in small neonates. Based on our study findings, this technique may offer an effective and less invasive alternative to the systemic-to-pulmonary shunt operation.

Keywords : Common carotid artery, congenital heart disease, patent ductus arteriosus, pulmonary atresia
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