[Closure of the persistent ductus arteriosus (Botalli) using a catheter procedure; the initial 50 patients treated in The Netherlands].
Experience gained with non-surgical catheter occlusion of patent ductus arteriosus in 50 patients (1-65 years) is described. Embolisation of the Rashkind device into the right pulmonary artery occurred in 1 patient. In another patient the device was removed because the prongs of the proximal umbrella could not be visualized. In 4 patients a considerable residual shunt was successfully treated with implantation of a second device. In 1 of these 4 patients this resulted in disappearance of considerable haemolysis as well. Five patients, however, still have a--haemodynamically insignificant--residual shunt. In 43 patients catheter occlusion of the ductus arteriosus was 100% successful. The advantages and disadvantages of this method are briefly compared with those of surgical treatment.
Rohmer
J
J
Academisch Ziekenhuis, afd. Kindergeneeskunde, Leiden.
Hess
J
J
Talsma
M D
MD
D000293:Adolescent; D000328:Adult; D000368:Aged; D006328:Cardiac Catheterization / Q000009:adverse effects; D004374:Ductus Arteriosus, Patent / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007223:Infant; D008875:Middle Aged
Sluiting van de persisterende ductus arteriosus (Botalli) door middel van catheter-interventie; de eerste 50 in Nederland behandelde patiënten.