Percutaneous closure of the small patent ductus arteriosus using occluding spring coils

Moore, John W.; Kirkpatrick, Stanley E.; Mathewson, James W.; Spicer, Robert L.; Uzark, Karen; Rothman, Abraham; Cambier, Patrick A.; Slack, Michael; Kirby, William C.

doi:10.1016/0735-1097(94)90765-x

Cited by 208 publications

(113 citation statements)

References 21 publications

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“…672,673 Variable use of procedural anticoagulation has been reported, depending on operator preference and site of embolization. It is standard practice to treat patients December 17, 2013 undergoing closure of collateral vessels or coronary artery fistulas with at least 100 U/kg UFH at the time of implantation.…”

Section: Thromboprophylaxis Of Transcatheter Embolization Proceduresmentioning

confidence: 99%

Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease

Giglia¹,

Massicotte²,

Tweddell³

et al. 2013

Circulation

298

245

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Section: Thromboprophylaxis Of Transcatheter Embolization Proceduresmentioning

confidence: 99%

Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease

Giglia¹,

Massicotte²,

Tweddell³

et al. 2013

Circulation

298

245

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“…Subsequently, a number of devices and coils have been used for catheter closure of PDA with varying degrees of success [17][18][19][20][21][22][23][24][25]. The major drawbacks of these devices and coils are the high incidence of residual shunt, the sometimes complex delivery systems and their unsuitability for larger PDAs.…”

Section: Discussionmentioning

confidence: 99%

Amplatzer Device closure of Atrial Septal Defects and Patent Ductus Arteriosus: Initial Experience

Dugal

Jetley

Singh

et al. 2003

Medical Journal Armed Forces India

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Surgical closure of Atrial Septal Defects (ASD) and Patent Ductus Arteriosus (PDA) can be performed successfully with low mortality. However, the morbidity associated with general anaesthesia, thoracotomy, cardiopulmonary bypass, postoperative monitoring in the intensive care unit, several days of hospital stay and the requirement of blood products is considerable. The expense associated with this morbidity, operative scar and the psychologic trauma to the patient and parents are additional disadvantages of surgery. Hence, the closure of these defects by transcatheter methods with various devices has been evaluated worldwide. We report the initial experience at our centre with closure of secundum ASDs and large PDAs with the Amplatzer Septal Occluder and Amplatzer Duct Occluder.

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“…[5][6][7] Transcatheter occlusion of a PDA can be complicated by protrusion of the device causing obstruction of the pulmonary artery or aorta, 8 as well as by embolization of the device into the pulmonary or systemic circulation. 5,[9][10][11] Ductus arteriosus endarteritis, 12 vascular trauma, and femoral artery hemorrhage are other potentially fatal complications. Hemolysis has been reported as an important complication 13 after coil implantation in humans.…”

Section: Jvim 15 212 Mp 155mentioning

confidence: 99%

Hemolysis Associated with Patent Ductus Arteriosus Coil Embolization in a Dog

Israël¹,

French²,

Wotton³

et al. 2001

Veterinary Internal Medicne

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A 9-year-old spayed Labrador Retriever was presented for the closure of a patent ductus arteriosus (PDA) by coil embolization. The dog was asymptomatic, but a murmur had been detected 1 year earlier as an incidental finding. Clinical examination, electrocardiography, and thoracic radiography were consistent with a left-to-right shunting PDA without decompensation. The diagnosis was confirmed by 2-dimensional and M-mode echocardiography demonstrating volume overload of the left atrium and left ventricle, and color flow Doppler echocardiography detecting the presence of continuous turbulent retrograde flow in the pulmonary artery. The ductus was visualized, and no other congenital abnormalities were found. A CBC and serum biochemistry profile were obtained (Table 1). Prophylactic sodium cefazolin a was administered IV at a dosage of 20 mg/kg. An angiogram was performed under general anesthesia and fluoroscopic guidance by injecting 12 mL of the contrast agent sodium lothalamate b into the femoral artery. This procedure confirmed the diagnosis of a PDA and enabled the diameter at the pulmonary artery to be measured (10 mm) by comparison with a 2-cm marker on the pigtail catheter. The ductus was catheterized by a retrograde arterial approach with a 5-fr (1.7-mm) multipurpose catheter. c Four embolization coils (MWCE-10-PDA 5, MWCE-8-PDA 5, MWCE-8-PDA-4, and MWCE-5-PDA 5) d were positioned in the ductus ampulla. An angiogram performed after the procedure showed only a very small amount of residual flow through the ductus, and no murmur could be detected by the esophageal stethoscope. The femoral artery was ligated (2/0 silk), e and the wound was closed in a routine matter. The dog made an uneventful recovery and sodium cefazolin (20 mg/kg) was administered IV 2 more times at 8-hour intervals. A grade 2/6 continuous murmur was audible over the left heart base after recovery (4 hours after anesthesia). Thoracic radiographs documented coil placement (Fig 1).Eighteen hours after surgery (day 1) dark red-brown urine was noted. Urinalysis showed a specific gravity of 1.050, and Dipstick f testing disclosed proteinuria (100 mg/

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Percutaneous closure of the small patent ductus arteriosus using occluding spring coils

Abstract: Occluding spring coils may have additional application in closing the small patent ductus arteriosus.

Cited by 208 publications

References 21 publications

Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease

Prevention and Treatment of Thrombosis in Pediatric and Congenital Heart Disease

Amplatzer Device closure of Atrial Septal Defects and Patent Ductus Arteriosus: Initial Experience

Hemolysis Associated with Patent Ductus Arteriosus Coil Embolization in a Dog

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