Document Detail


Coil embolization to occlude aortopulmonary collateral vessels and shunts in patients with congenital heart disease.
MedLine Citation:
PMID:  2909557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gianturco coils were used to embolize 77 vessels in 54 patients: 58 aortopulmonary collateral vessels, 14 Blalock-Taussig shunts, 3 arteries involved in pulmonary sequestrations and 2 venae cavae. Embolization resulted in total occlusion in 53 (69%), subtotal occlusion in 19 (25%) and partial occlusion in 3 (1 intentional). Two embolizations failed to reduce flow. Thus, 72 (95%) of 76 embolizations in which complete occlusion was the intended result resulted in total or subtotal occlusion. Analysis of the results demonstrates that completely occluded collateral vessels were longer and had a smaller diameter than did incompletely occluded vessels. Complications included six cases of inadvertent embolization to the pulmonary arteries (n = 5) or the aorta (n = 1); three were retrieved and three were left without symptoms. In addition, there was a case of severe hemolysis after intentional partial occlusion of a Blalock-Taussig shunt. The results demonstrate that coil embolization can be an effective procedure for managing a wide variety of aorto-pulmonary collateral vessels and shunts in children with congenital heart disease.
Authors:
S B Perry; W Radtke; K E Fellows; J F Keane; J E Lock
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  13     ISSN:  0735-1097     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  1989 Jan 
Date Detail:
Created Date:  1989-02-09     Completed Date:  1989-02-09     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  100-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aorta / physiopathology*
Aortography
Child
Child, Preschool
Cineangiography
Collateral Circulation*
Embolization, Therapeutic / adverse effects,  instrumentation,  methods*
Equipment Failure
Heart Defects, Congenital / physiopathology,  therapy*
Humans
Infant
Infant, Newborn
Pulmonary Circulation*
Grant Support
ID/Acronym/Agency:
5 F32 HL07309-2/HL/NHLBI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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