Transcatheter closure of the patent ductus arteriosus: a comparative study between occluding coils and the Rashkind umbrella device

Catheterization and Cardiovascular Diagnosis
Z R BulbulW E Hellenbrand

Abstract

This study was performed to evaluate the efficacy of transcatheter coil closure of the patent ductus arteriosus in comparison to our experience with the Rashkind umbrella device. Transcatheter coil closure of the patent ductus arteriosus has been reported with encouraging results. We present our experience with ducti up to 5.0 mm in diameter and report the short-term follow-up. We compare the results with our previous experience with the Rashkind umbrella device. Seventy-one patients underwent transcatheter coil closure. Median age was 3.1 years, and median weight was 13.6 kg. Mean ductus diameter was 2.0 +/- 1.1 mm. These were compared with 105 patients who underwent transcatheter closure using a single Rashkind umbrella device. The median age was 3.2 years and the median weight was 14.0 kg. The mean ductus diameter for this group was 2.1 +/- 0.6 mm. The ductus murmur in the coil group disappeared in all patients. Immediate (< or = 24h), complete closure was achieved in 89% of the coil group as compared to 71% for the Rashkind umbrella device group (P < 0.005). Closure rate for the coil group was 97% at the 6-month follow-up, vs. 82% for the Rashkind umbrella device group at the 6-12 month follow-up (P < 0.05). In almost all p...Continue Reading

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Citations

Mar 1, 2008·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jacek KusaJacek Bialkowski
Jun 21, 2001·The American Journal of Geriatric Cardiology·C. Igor Mesia, William B. Moskowitz
Oct 9, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A C EisenhauerP S Watson
Dec 29, 2000·Indian Journal of Pediatrics·J L Wilkinson
Apr 12, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Jou-Kou WangYuan-Teh Lee
Feb 5, 1999·Current Opinion in Cardiology·S Maheshwari, W E Hellenbrand
Aug 25, 2000·Indian Journal of Pediatrics·J L Wilkinson
Jun 8, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Z M Hijazi
Nov 30, 2000·Current Treatment Options in Cardiovascular Medicine·J TherrienG D Webb

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