Safety and efficacy of using 0.052-inch Gianturco coil for closure of large ( > or = 4mm) patent ductus arteriosus.
Transcatheter closure of patent ductus arteriosus (PDA) is now a well-established treatment alternative to surgery in many cardiology centers. Of all the methods used, transcatheter coil occlusion is the preferred therapy. For small PDA, the method using 0.038" Gianturco coils has proven safe and effective. However, this therapeutic strategy has encountered some difficulties with large PDA. This study provides an alternative strategy, using 0.052" Gianturco coil and complete closure of residual shunt with multiple coils to close large PDA. Fifteen patients underwent transcatheter coil occlusion of large ( > or = 4mm) patent ductus arteriosus. The intermediate success rate was 86.7%. There were four complications and only two patients had to be referred for surgery.
Huang
Ta-Cheng
TC
Department of Pediatrics, Veterans General Hospital-Kaohsiung, No. 386, Ta-Chung 1st Rd., Kaohsiung, Taiwan, 813. tchuang@isca.vghks.gov.tw
Hsieh
Kai-Sheng
KS
Lee
Cheng-Liang
CL
Lin
Chu-Chun
CC
D000293:Adolescent; D000328:Adult; D006328:Cardiac Catheterization; D002648:Child; D002675:Child, Preschool; D004374:Ductus Arteriosus, Patent / Q000601:surgery*; D006801:Humans; D007223:Infant; D015607:Stents; D016896:Treatment Outcome