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Narrative review suggests transcatheter PDA closure improves safety and reduces radiation compared to fluoroscopy

Narrative review suggests transcatheter PDA closure improves safety and reduces radiation compared…
Photo by Eman Ali / Unsplash
Key Takeaway
Consider transcatheter PDA closure for enhanced safety and reduced radiation versus fluoroscopy.

This narrative review examines the use of transcatheter closure for patent ductus arteriosus. The scope includes comparisons against the classical fluoroscopy approach regarding procedural safety, radiation exposure, procedure times, and eligibility criteria. The review does not report a specific sample size or follow-up duration. The authors synthesize qualitative conclusions rather than pooled effect sizes because the source is a narrative review. Specific numerical data, p-values, or confidence intervals are not reported in this source. The review does not detail adverse events or tolerability data. The authors acknowledge that specific effect sizes and absolute numbers were not reported for the outcomes analyzed. The review suggests that the intervention may offer benefits over the comparator but does not provide statistical certainty. The practice relevance is described as optimizing outcomes and guiding future practice in transcatheter PDA closure. Clinicians should interpret these findings within the context of a narrative review that lacks quantitative precision.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedMay 2026
View Original Abstract ↓
Patent ductus arteriosus (PDA) is a common congenital cardiac defect traditionally managed by surgical and transcatheter closure under fluoroscopic guidance. Over recent years, significant advances in imaging modalities, device technology, and procedural planning have transformed the pathway for PDA closure, reducing reliance on classical fluoroscopy-based techniques. This review outlines the evolution of transcatheter PDA closure from conventional fluoroscopic approaches to contemporary strategies incorporating echocardiographic guidance, hybrid imaging, and radiation-sparing protocols. These changes have enhanced procedural safety, reduced radiation exposure to patients and operators, shortened procedure times, and expanded eligibility to younger and higher-risk populations. Understanding this evolving pathway is essential for optimizing outcomes and guiding future practice in transcatheter PDA closure.
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