[Patent ductus Arteriosus closure with Gianturco coils]. 1996

F Chamié, and S de J Pereira, and F Sbaffi, and A Serra Júniör, and J G de Athayde
CARPE-Cardiologia Pediátria e Fetal e Hospital dos Serviodores do Estado, Rio de Janeiro.

OBJECTIVE To report our experience with PDA closure with Gianturco coils. METHODS Between September 1995 and January 1996, nine patients underwent cardiac catheterization to have patent ductus arteriosus occlusion by Gianturco coils. Selection criteria were age > or = 6 months and narrowest PDA internal diameter < 4 mm. 4F to 6F Judkins right coronary catheters were used to deliver the coils. One loop was delivered in the pulmonary artery and two loops delivered in the descending aorta across the ductus. Angiography after the procedure confirmed complete closure. Follow-up after coil placement occurred the next day, one month and three months by means of color flow mapping. RESULTS Of the nine patients, seven had successful implants. In one no coil was delivered. In the first patient, there is a small residual shunt visualized by color flow doppler that persists after three months of the implant. One patient received two coils, other received three coils and the remainder received one coil each. There were no coil migration, or significant complication related to the implants. CONCLUSIONS The coil occlusion of the ductus is a safe, effective and low-cost procedure, and should be included among non surgical technics of ductal closure.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D008297 Male Males
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D004374 Ductus Arteriosus, Patent A congenital heart defect characterized by the persistent opening of fetal DUCTUS ARTERIOSUS that connects the PULMONARY ARTERY to the descending aorta (AORTA, DESCENDING) allowing unoxygenated blood to bypass the lung and flow to the PLACENTA. Normally, the ductus is closed shortly after birth. Patent Ductus Arteriosus Familial,Patency of the Ductus Arteriosus,Patent Ductus Arteriosus
D004621 Embolization, Therapeutic A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage. Embolotherapy,Therapeutic Embolization,Embolizations, Therapeutic,Embolotherapies,Therapeutic Embolizations
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006328 Cardiac Catheterization Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures. Catheterization, Cardiac,Catheterization, Heart,Heart Catheterization,Cardiac Catheterizations,Catheterizations, Cardiac,Catheterizations, Heart,Heart Catheterizations
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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