| Guidewire and catheter manipulation without coil placement to close minimal patent ductus arteriosus. | |
| | |
MedLine Citation:
|
PMID: 16000227 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Transcatheter coil closure (TCC) is safe and effective for most patients with PDA, but coil associated complications may occasionally be encountered. For occlusion of minimal PDA (<1 mm), we employed a closure protocol with guidewire and catheter manipulation. METHODS: Between April 2000 and September 2004, 38 patients with a minimal PDA were classified into two groups according to the occlusion method at our institution. Group A consisted of 11 patients (age range 0.7 to 3.5 years; mean age 1.6 years) who underwent guidewire and catheter manipulation. Group B consisted of 27 patients (age range 0.5 to 2.7 years; mean age 1.3 years) who underwent TCC of PDA. RESULTS: In group A (a PDA 0.4-0.9 mm), 9 (82%) patients had successful closure, and two (18%) patients failed the manipulation. No patient had complications during the procedure or follow-up. In group B (a PDA 0.5-0.9 mm), 26 (96%) patients had successful closure and 1 (4%) patient failed the attempt at TCC. No adverse events of coil closure was found during follow-up. Compared to the patients in group B, those in group A differed significantly in terms of procedure time. There were no significant differences in age, sex, body weight, PDA size, fluoroscopy time, success rate, and complication rate. CONCLUSIONS: Our results indicate that the manipulation is safe and effective for patients with minimal PDA. The manipulation technique can be tried before TCC in patients with minimal PDA. |
| | |
Authors:
|
Ken-Pen Weng; Chu-Chuan Lin; Shih-Ming Huang; Ta-Cheng Huang; Cheng-Liang Lee; Kai-Sheng Hsieh |
Related Documents
:
|
10470477 - Long-term outcome of transcatheter coil closure of small to large patent ductus arterio... 23440247 - Safety and tolerability of the novel inhaled corticosteroid fluticasone furoate in comb... 11995957 - Vanishing cerebellum in myelomeningocoele. 20440117 - Tipsitis: incidence and outcome-a single centre experience. 7614517 - Cardiac problems associated with dysbarism. 16169327 - Comparative effects of nicorandil with isosorbide mononitrate on cardiac sympathetic ne... |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2005-07-05 |
Journal Detail:
|
Title: International journal of cardiology Volume: 106 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 2006 Jan |
Date Detail:
|
Created Date: 2005-12-02 Completed Date: 2006-03-16 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: Ireland |
Other Details:
|
Languages: eng Pagination: 250-4 Citation Subset: IM |
Affiliation:
|
Department of Pediatrics, Veterans General Hospital-Kaohsiung, National Yang-Ming University, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Chi-Square Distribution Child, Preschool Ductus Arteriosus, Patent / surgery* Echocardiography, Doppler, Color Female Heart Catheterization / instrumentation, methods* Hemodynamics Humans Infant Male Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Offspring from families at high risk for alcohol dependence: increased body mass index in associatio...
Next Document: Gonadal steroids regulate GABAA receptor subunit mRNA expression in NT2-N neurons.