| Clinical results and radiographic appearance of the Rashkind double umbrella device in patients with occlusion of the ductus arteriosus. | |
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MedLine Citation:
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PMID: 9388287 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The Rashkind double umbrella device for patent arterial duct occlusion has been used in many patients. Its radiographic appearance has not been sufficiently described. OBJECTIVE: To present the varying radiographic appearances of the Rashkind double umbrella device on the chest X-ray. MATERIALS AND METHODS: The chest radiographs of 69 patients (median age 60 months; median weight 17 kg), who underwent closure of their patent arterial duct between March 1990 and August 1994, were reviewed. The following parameters were evaluated: 1) the size of the heart (cardio-thoracic ratio) and pulmonary vessels, 2) the position of the device in AP/PA and lateral projections. The results of occlusion of the patent arterial duct were also reviewed. RESULTS: Sixty-two of 69 (90 %) patients had complete occlusion after a follow-up between 2 months and 3(1)/2 years. The cardio-thoracic ratio showed significant reduction at follow-up (P < 0.001). The two different size devices could be well differentiated in the AP and the lateral projection. In 14 patients (20 %) the device was in an asymmetrical position. There was no significant correlation between position of the device and success of occlusion in our material. CONCLUSION: Complete occlusion of the arterial duct using Rashkind double umbrella devices can be achieved in 90 % of our population. In 20 % the device will have an asymmetrical position. There is no correlation between asymmetrical position of the device in the chest radiograph and residual shunting. |
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Authors:
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O Galal; W von Sinner; N Azhari; F Al-Fadley; M de Moor; J Böcker; M E Fawzy; Z Al-Halees |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric radiology Volume: 27 ISSN: 0301-0449 ISO Abbreviation: Pediatr Radiol Publication Date: 1997 Dec |
Date Detail:
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Created Date: 1998-02-05 Completed Date: 1998-02-05 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0365332 Medline TA: Pediatr Radiol Country: GERMANY |
Other Details:
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Languages: eng Pagination: 936-41 Citation Subset: IM |
Affiliation:
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King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Blood Vessel Prosthesis* Blood Vessel Prosthesis Implantation / adverse effects Child Child, Preschool Ductus Arteriosus, Patent / radiography*, surgery* Female Humans Infant Male Middle Aged Radiography, Thoracic* |
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