Document Detail


Coil occlusion of residual shunts after surgical closure of patent ductus arteriosus.
MedLine Citation:
PMID:  17187640     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Clinical study.
ANIMALS: Dogs (n=4) with continuous murmur after surgical ligation of PDA.
METHODS: After PDA ligation, residual ductal flow through the PDA was visible on color-flow Doppler examination and left ventricular end-diastolic diameter remained increased. Coil embolization by an arterial approach was performed to achieve complete occlusion of the PDA.
RESULTS: Embolization coils were delivered without complications and hemodynamically successful occlusion was achieved. Doppler-visible flow resolved in 2 dogs within 3 months after embolization. Left ventricular end-diastolic diameter indexed to body weight decreased in all dogs.
CONCLUSIONS: Transcatheter coil embolization appears to be a safe and minimally invasive procedure for complete occlusion of residual PDA flow after incomplete surgical ligation.
CLINICAL RELEVANCE: Transcatheter coil embolization should be considered for correction of hemodynamically significant residual shunts in dogs that have incomplete PDA occlusion after open surgical ligation.
Authors:
Yoko Fujii; Bruce W Keene; Kyle G Mathews; Clarke E Atkins; Teresa C Defrancesco; Elizabeth M Hardie; Yoshito Wakao
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Veterinary surgery : VS     Volume:  35     ISSN:  0161-3499     ISO Abbreviation:  Vet Surg     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-25     Completed Date:  2007-01-23     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  8113214     Medline TA:  Vet Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  781-5     Citation Subset:  IM    
Affiliation:
College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA. yoko_fujii@ncsu.edu
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MeSH Terms
Descriptor/Qualifier:
Animals
Dog Diseases / surgery*,  therapy*,  ultrasonography
Dogs
Ductus Arteriosus, Patent / surgery,  therapy,  ultrasonography,  veterinary*
Echocardiography, Doppler, Color / veterinary
Embolization, Therapeutic / methods,  veterinary*
Female
Ligation / adverse effects,  veterinary
Male
Treatment Outcome

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


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