Transcatheter closure of patent ductus arteriosus using detachable spring coils. 1998

A K Chee, and J T Heng, and K Y Wong
Department of Paediatric Medicine, KK Women's and Children's Hospital, Singapore.

OBJECTIVE To report our experience with transcatheter PDA closure using detachable spring coils. METHODS Suitable patients who presented between March 1996 to July 1997 were selected for coil occlusion of PDA after the diagnosis is confirmed on colour doppler echocardiography. Twenty-seven patients underwent an attempt at transcatheter closure of PDA with coils. Twenty-one were native ducts while 6 were residual ductal leaks following surgical ligation (4) and Rashkind umbrella occlusion (2). RESULTS The patients' age ranged from 20 months to 39 years (median 5.5 years) and weighed from 10.5 kg to 49 kg (median 21 kg). The PDA diameter ranged from 1.3 mm to 5 mm (mean 2.4 mm). Twenty-four patients had coils successfully deployed (one coil in each patient) and all had PDA diameter of < or = 3.5 mm. Seventeen had complete occlusion on echocardiographic colour doppler assessment within 24 hrs. Follow-up colour doppler assessment showed complete occlusion in all 24 patients by 6 months. There were no cases of coil embolisation or any other complications. Unsuccessful coil deployment was encountered in 3 patients with PDA diameter of > or = 4 mm. CONCLUSIONS The detachable coil system allows for complete control over coil release and therefore deployment is precise and complications are minimised. Transcatheter closure of PDA with the detachable coil is a safe and effective method especially for small ducts (< or = 3.5 mm).

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
D004869 Equipment Safety Freedom of equipment from actual or potential hazards. Device Safety,Hazards, Equipment,Medical Device Safety,Safety, Equipment,Device Safety, Medical,Safety, Medical Device,Equipment Hazard,Equipment Hazards,Hazard, Equipment,Safety, Device
D005260 Female Females
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
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

Related Publications

A K Chee, and J T Heng, and K Y Wong
January 2000, Journal of veterinary internal medicine,
A K Chee, and J T Heng, and K Y Wong
January 1999, La Pediatria medica e chirurgica : Medical and surgical pediatrics,
A K Chee, and J T Heng, and K Y Wong
May 1997, The American journal of cardiology,
A K Chee, and J T Heng, and K Y Wong
December 1998, The American journal of cardiology,
A K Chee, and J T Heng, and K Y Wong
August 1997, Catheterization and cardiovascular diagnosis,
A K Chee, and J T Heng, and K Y Wong
October 1996, Acta paediatrica Japonica : Overseas edition,
A K Chee, and J T Heng, and K Y Wong
September 1995, The American journal of cardiology,
A K Chee, and J T Heng, and K Y Wong
December 1996, Heart (British Cardiac Society),
A K Chee, and J T Heng, and K Y Wong
March 1994, Journal of the American College of Cardiology,
A K Chee, and J T Heng, and K Y Wong
August 2005, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Copied contents to your clipboard!