Comparison of 0.052-Inch Coils vs Amplatzer Duct Occluder for Transcatheter Closure of Moderate to Large Patent Ductus Arteriosus

Huang, Ta Cheng; Kuan, Yu‐Hsiang; Hsieh, Kai‐Sheng; Lin, Chi-Kung; Lee, Cheng-Liang

doi:10.1253/circj.cj-08-0461

Cited by 11 publications

(6 citation statements)

References 16 publications

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“…[2][3][4][5][6][7]9 Although a modified delivery technique or the use of 0.052-inch coils may increase the success rate, embolization or failure to close a ductus ≥3.5 mm with coils remains high. 2,[4][5][6][7]9,18 The ADO, developed to close moderate-to-large-sized PDA, has a high success rate and low complication rate. [10][11][12][13][14] We previously proposed a strategic approach to the closure of the ductus: use coils for small-size PDA and the ADO for moderate-to-large ones.…”

Section: Advantages Of Using the Ado For Closing A Large Pda In Infantsmentioning

confidence: 99%

“…6 There are many reports regarding closure of the ductus using the ADO, but the majority of patients included were over 1 year of age, and reports of ductal closure using the ADO in infants are few and the case numbers rather limited. 15,16,[18][19][20] PDA may be an isolated anomaly or associated with some other cardiovascular anomalies. 21 Infants with a large ductus are usually symptomatic with tachypnea, tachycardia and difficulty in feeding.…”

Section: Advantages Of Using the Ado For Closing A Large Pda In Infantsmentioning

confidence: 99%

“…2,[5][6][7]9,22 Meanwhile, residual shunt is more common in infants undergoing closure with coils than with the ADO. 18,23 The mean fluoroscopic and procedural times are shorter with ADO closure than with coil closure for large ductus, so the ADO seems to be the ideal device to use in infants with a moderate-to-large PDA. However, difficulties in the deployment of the ADO in young children have been reported; 15,16,19,20,24 for example, kinking of the sheath may occur while advancing the device to the right ventricular outflow tract, although this can be solved by snaring the sheath from the descending aorta 15 or using an Amplatzer vascular plug pushing cable.…”

Section: Advantages Of Using the Ado For Closing A Large Pda In Infantsmentioning

confidence: 99%

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Transcatheter Closure of Moderate-to-Large Patent Ductus Arteriosus in Infants Using Amplatzer Duct Occluder

Wang

Lin

et al. 2010

Circ J

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Background: There are difficulties in transcatheter closure of patent ductus arteriosus (PDA) in infants. Methods and Results:The 46 infants (mean age 6.2±2.7 months; mean body weight 6.3±1.6 kg) who underwent PDA closure using the Amplatzer duct occluder (ADO). The indication for using an ADO was a ductus diameter ≥2.5 or 3 mm. Device diameter selected was 1-3 mm larger than ductal diameter. The mean systolic pulmonary artery pressure was 40.9±18.2 mmHg. The mean Qp/Qs ratio was 3.1±1.2. The mean ductus diameter was 3.3±0.8 mm. ADO was successfully deployed in 45 patients. Failure occurred in 1 case. The mean diameter of device used was 5.4±1.1 mm. No severe complications occurred. At the 1-month echocardiographic follow-up, a small residual shunt was present in 4 of 45 patients and had disappeared in all 4 patients at the 3-month followup. One patient developed a moderate degree of left ventricular outflow tract obstruction 2.3 years after the procedure. Conclusions:Transcatheter closure of PDA in infants using the ADO is a safe and effective method. (Circ J 2010; 74: 361 - 364)

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Section: Advantages Of Using the Ado For Closing A Large Pda In Infantsmentioning

confidence: 99%

Section: Advantages Of Using the Ado For Closing A Large Pda In Infantsmentioning

confidence: 99%

Section: Advantages Of Using the Ado For Closing A Large Pda In Infantsmentioning

confidence: 99%

See 1 more Smart Citation

Transcatheter Closure of Moderate-to-Large Patent Ductus Arteriosus in Infants Using Amplatzer Duct Occluder

Wang

Lin

et al. 2010

Circ J

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“…The transcatheter closure with ADO has significantly improved the outcome of the percutaneous closure of medium- and large-sized ducts. [ 9 10 11 12 ] The major advantages of ADO are easy implantation technique, small delivery sheath (6-8 Fr), possibility of retrieval, ability to reposition before release of the device, low complication rate, and high closure rate. [ 11 12 13 ]…”

Section: Discussionmentioning

confidence: 99%

Long-term results of transcatheter closure of patent ductus arteriosus in adolescents and adults with amplatzer duct occluder

et al. 2015

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Background:Transcatheter closure of patent ductus arteriosus (PDA) with the Amplatzer ductal occluder (ADO) has become a standard procedure in most pediatric patients. However, experience in adults and adolescents is limited. Our experience of transcatheter closure of PDA with ADO in adolescents and adults is presented in this study.Aims:The aim of this study was to investigate long-term outcomes of transcatheter closure of PDA in adolescents and adults with ADO.Materials and Methods:In this study, 69 patients (52 females and 17 males) with PDA underwent transcatheter closure between May 2004 and October 2012. The procedure was performed under fluoroscopic guidance. Chest radiograph, electrocardiogram, transthoracic echocardiography (TTE), and clinical assessment of the patients were conducted before the procedure. Clinical and echocardiographic follow-ups were performed on day 1 of the 1st month, 6th month, and 12th month and then yearly after the procedure.Results:The mean and standard deviation age of the patients was 18.08 ± 7.25 years (ranging 10-38 years). The mean and standard deviation angiographic diameter of PDA was 7.78 ± 2.78 mm. The mean and standard deviation size of the implanted device was 9.3 ± 2.9. The mean and standard deviation average pulmonary artery pressure was 32.1 ± 14.2 mmHg. The mean pulmonary flow/systemic flow ratio was 2.2 ± 0.61. The devices were successfully implanted in all patients (100%). Immediately after device implantation, 47 patients had residual shunts. The residual shunts disappeared in all the patients, except for one that lingered until 24 h after the procedure. No severe complication occurred at the immediate and long-term follow-ups.Conclusions:The long-term results suggested that transcatheter closure of PDA with ADO is a safe and effective treatment for adolescents and adults with PDA. Low complication rates and short hospital stays make this procedure the treatment of choice in most cardiovascular centers worldwide.

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“…In type A PDAs, devices that are specifically designed to conform with the vascular anatomy are more easily placed and more effective [6]. The Amplatzer duct occluder, the only device currently FDA approved for PDA closure, appears to be safe and effective [3,[7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous closure of an aneurysmal patent ductus arteriosus in an adult

Schussler¹,

Choi²

2010

Cathet Cardio Intervent

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Comparison of 0.052-Inch Coils vs Amplatzer Duct Occluder for Transcatheter Closure of Moderate to Large Patent Ductus Arteriosus

Abstract: ADO implantation is safer and more effective than the 0.052-inch coil strategy for transcatheter closure of moderate to large PDA.

Cited by 11 publications

References 16 publications

Transcatheter Closure of Moderate-to-Large Patent Ductus Arteriosus in Infants Using Amplatzer Duct Occluder

Transcatheter Closure of Moderate-to-Large Patent Ductus Arteriosus in Infants Using Amplatzer Duct Occluder

Long-term results of transcatheter closure of patent ductus arteriosus in adolescents and adults with amplatzer duct occluder

Percutaneous closure of an aneurysmal patent ductus arteriosus in an adult

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