Document Detail


Coil on the loop and selectively enhanced stiffness for improved control: feasibility study in the neonatal ovine model of the large patent ductus arteriosus.
MedLine Citation:
PMID:  9342124     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RATIONALE AND OBJECTIVES: Several devices have been suggested and tested for interventional closure of the persistent ductus arteriosus. Coils were found effective only in small ducts due to their lack of maneuverability and physical limitation of grip forces leading to risk of embolization. The authors evaluated the feasibility to place single coils with selectively enhanced stiffness into high shunting ductus arteriosus, the coils being deployed and controlled through a veno-arterial loop in a bovine model. METHODS: "Double-cone" shaped, stainless steel coils with enhanced stiffness of the outer rings were mounted on either end on a nitinol core wire. A snap-in mechanism attaches the coil to this delivery wire and is freed by a pusher system of coiled steel wire that is advanced over the core wire. Forming a veno-arterial loop across the patent ductus allows for repositioning into the pulmonary artery or aortic catheter. A chronic lamb model of large patent ductus arteriosus (PDAs) (> or = 9 mm) was used in which ductus patency was secured by a protocol of repetitive angioplasties. Different systems (n = 10) were placed having retrieved the previous coil by a snare after definitive release. RESULTS: Placement of coils was possible in all 10 attempts. The coils were pulled back into the catheters between five and eight times before definitive release. CONCLUSIONS: The device allows controlled placement of single coils in our model of large PDAs and may lead the way to overcome previous limitations of coils. Clinical trials are warranted.
Authors:
R G Grabitz; F Freudenthal; M Sigler; M C Seghaye; C Boosfeld; G von Bernuth
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Investigative radiology     Volume:  32     ISSN:  0020-9996     ISO Abbreviation:  Invest Radiol     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1997-11-04     Completed Date:  1997-11-04     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0045377     Medline TA:  Invest Radiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  636-43     Citation Subset:  IM    
Affiliation:
Department of Pediatric Cardiology and Interdisciplinary Center of Clinical Research on Biomaterials, Aachen University of Technology, Germany. grabitz@alpha.imib.rwth-aachen.de
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MeSH Terms
Descriptor/Qualifier:
Animals
Animals, Newborn
Cardiology / instrumentation*
Ductus Arteriosus, Patent / therapy*
Equipment Design
Sheep

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