Transcatheter closure of patent ductus arteriosus with the Rashkind occluder. Acute results and angiographic follow-up in adults

European Heart Journal
H SievertA Utech

Abstract

We performed catheter closure of a patent ductus arteriosus with a Rashkind occluder in 51 adult patients (aged 14 to 76 years). The diameter of the ductus ranged from 2 to 13 mm (mean 4.5 +/- 2.0 mm), QP:QS from 1.0 to 2.6 (mean 1.6 +/- 0.3). The procedure was successful in 50/51 patients, in one of them at a second attempt. In one patient, the ductus could not be closed even with additional occluders. This patient was sent for surgery. In two patients with a large ductus, two Rashkind umbrellas were implanted simultaneously. Immediately after ductus closure, there was a residual shunt in 40/50 patients decreasing to 26/50 after 20 min. Two of the patients with a residual shunt suffered from haemolysis. In 16 patients, the residual shunt disappeared spontaneously within some months. In 15 patients, additional occluders (a second occluder in 12, a third occluder in one, and a fourth and fifth occluder in another) were implanted during the initial procedure or during follow-up. All patients were followed until angiography proved complete closure of the ductus. At the time of the last follow-up angiogram, the ductus was occluded in 49/50 patients; one patient refused a follow-up angiogram. Ductus occlusion with the Rashkind umbre...Continue Reading

Citations

Apr 12, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jou-Kou WangYuan-Teh Lee
Dec 29, 2000·Indian Journal of Pediatrics·J L Wilkinson
Jul 29, 2005·The International Journal of Cardiovascular Imaging·Serkan CayAysel Turkvatan
Nov 30, 2000·Current Treatment Options in Cardiovascular Medicine·J TherrienG D Webb
Nov 23, 2006·Cardiology in the Young·Mohammed O GalalAmin M Arfi
Jun 11, 2002·Journal of Interventional Cardiology·R AroraG S Dalra
Aug 25, 2000·Indian Journal of Pediatrics·J L Wilkinson
Nov 5, 2008·Proceedings·Margaret M SullivanJames W Choi

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