Transcatheter closure of patent ductus arteriosus using occluding spring coils.
The purpose of this study is to report our initial experience with the use of spring coils to close the patent ductus arteriosus in the dog. There are few large-patient series reported in the veterinary literature. Coil closure was attempted in 15 dogs (median weight, 6.5 kg; range, 1.2 to 38.7 kg) presenting with a patent ductus arteriosus between May 1997 and May 1999. Arterial catheterization followed by angiography was used to decide if coil placement was adequate. A 5- or 8-mm embolization coil, depending on the angiographic diameter of the ductus, was delivered, with 1 loop in the pulmonary arterial side and the remainder of the coil in the aortic side of the duct. Additional coils were used if a residual shunt was present, and closure was confirmed by aortography. Patients were discharged the day after the procedure. Successful coil closure, without residual shunt on angiography, was achieved in 11 of 13 dogs in which coils were released. In 6 dogs, a coil embolized to the pulmonary artery. Four of these dogs had successful closure with multiple coils, and 2 others had surgery. None of these dogs experienced adverse effects. In 2 dogs with conical patent ductus arteriosus >5 mm in minimal diameter, coil closure was not done. We conclude that the patent ductus arteriosus size and anatomical shape are crucial in deciding whether coil closure is the method of choice. In selected cases, coil closure represents an elegant alternative to surgical ligation. Although pulmonary embolism occurred commonly, it did not cause any obvious clinical problem.
Department of Clinical Sciences of Companion Animals of the Faculty of Veterinary Medicine, University of Utrecht, The Netherlands.
A A
AA
Stokhof
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N
Sreeram
W T
WT
Wolvekamp
D000818:Animals; D006328:Cardiac Catheterization / Q000379:methods / Q000662:veterinary*; D017023:Coronary Angiography / Q000662:veterinary; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D004374:Ductus Arteriosus, Patent / Q000601:surgery / Q000662:veterinary*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000662:veterinary*; D016896:Treatment Outcome