Document Detail


Transcatheter occlusion of residual patent ductus arteriosus after surgical ligation.
MedLine Citation:
PMID:  9986888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The reported frequency of residual leaks after surgical ligation of patent ductus arteriosus (PDA) varies from 6% to 23%. Reports on percutaneous closure of PDA also involve patients with residual PDA after ligation, but specific data regarding this type of PDA are rare. Our objective was to assess retrospectively the characteristics of residual PDA relevant to transcatheter closure and occlusion results using three types of occluders. Twelve consecutive patients underwent transcatheter occlusion of residual PDA after surgical ligation at a median age of 4.6 years (range 3. 2-44.6 years) and median weight 16.5 kg (range 13-62 kg). Three types of occluder were used: Gianturco coils, detachable Cook PDA coils, and the new Amplatzer duct occluder. The median diameter of residual PDA after ligation was 1.5 mm (range 0.9-4.2 mm). All PDAs were of type A morphology. Thirteen devices were successfully placed in the 12 patients, without embolization. There were no complications. At 1 month and 1 year follow-up all residual shunts were completely closed. Coils are particularly suitable for complete closure of residual leaks after surgical ligation of PDA. A 100% closure rate was achieved with a low number of implanted coils.
Authors:
T Podnar; J Masura
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  20     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    1999 Mar-Apr
Date Detail:
Created Date:  1999-04-07     Completed Date:  1999-04-07     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  126-30     Citation Subset:  IM    
Affiliation:
University Children's Hospital, University Medical Center, Vrazov trg 1, 1525 Ljubljana, Slovenia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Ductus Arteriosus, Patent / radiography,  therapy*
Embolization, Therapeutic / instrumentation*
Equipment Design
Female
Follow-Up Studies
Heart Catheterization / instrumentation*
Humans
Ligation
Male
Recurrence
Retreatment
Retrospective Studies
Treatment Outcome

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


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