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Analyzing the Failures of Percutaneous Closure of the Patent Ductus Arteriosus in Patients Over 5 kg.
MedLine Citation:
PMID:  22954562     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
METHODS: All patients over 5 kg benefited from a transcatheter attempt at duct closure. Coils and Amplatzer duct occluder (ADO) I were used before 2008, and ADO I and ADO II afterward. The failure was recovered when another percutaneous attempt was successful and definite when surgery was needed.
RESULTS: There were 138 patients. Coils were used in 22 patients (16%), ADO I in 74 (54%), and ADO II in 42 (30%). Immediate and 6-month closure rates were 55% and 100% for coils, 40% and 96% for the ADO I, and 74% and 93% for the ADO II, respectively. There were no failures in the coil group, and 3 failures in each of the ADO I and ADO II groups. Among the 3 ADO I failures, 1 was recovered after device migration into the abdominal aorta. The 2 other failures were definite, due to immediate device protrusion, once in the aorta and once in the pulmonary artery. One of the 3 ADO II failures was definite, due to protrusion into the aorta, 10 days following the procedure. The two other failures were due to immediate device migration into the pulmonary artery, and were both recovered.
CONCLUSIONS: 97% of ducts can be closed percutaneously. The combination of coil and ADO I gives excellent results. Failed attempts with the ADO II were bailed out by the ADO I.
Authors:
Zakhia Saliba; Issam El-Rassi; Dina Helou; Ghassan Chehab; Tony Abdel-Massih; Linda Daou; Viviane Chalhoub; Elie Choueiry; Bernard Gerbaka
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  24     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  434-8     Citation Subset:  IM    
Affiliation:
Hotel-Dieu de France Hospital, PO Box 166830, Beirut, Lebanon. issam.rassi@gmail.com.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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