Safety and efficacy of interventional occlusion of patent ductus arteriosus with detachable coils: a multicentre experience

Hofbeck, Michael; Bartolomaeus, Georg; Buheitel, G.; Esser, Reinhard; Grävinghoff, L.; Hoffmann, W H; Kienast, W.; Michel‐Behnke, Ina; Scharabrine, Ekaterina G.; Schranz, Dietmar; Schmaltz, A. A.; Шахов, Б. Е.; Singer, H.; Lindinger, Angelika

doi:10.1007/s004310051282

Cited by 38 publications

(27 citation statements)

References 42 publications

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“…One of the possible drawbacks of this method may be rather long fluoroscopic exposure required in some patients. In patients with a PDA of <2.0 mm, the mean fluoroscopic time was 18 min and was comparable with other methods 7 . However, in some patients with a PDA of ≥ 2.0 mm, it took approximately 60 min to position two coils in order to make a compact mass.…”

Section: Discussionsupporting

confidence: 62%

Transcatheter occlusion of patent ductus arteriosus using tornado platinum coils

Suda

Matsumura

2003

Pediatrics International

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Section: Discussionsupporting

confidence: 62%

Transcatheter occlusion of patent ductus arteriosus using tornado platinum coils

Suda

Matsumura

2003

Pediatrics International

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“…[15][16][17][18][19] There are only a few reports on the long-term outcome of coil occlusion for PDA. [22][23][24] Our study demonstrated that coil occlusion shows longterm efficacy and safety for patients with PDA. The final occlusion rate was 97.8% without any severe adverse events.…”

Section: Long-term Outcome Of Coil Occlusion In Pda Patientsmentioning

confidence: 54%

Long-Term Outcome of Coil Occlusion in Patients With Patent Ductus Arteriosus

Takata

Hatori

Sugiyama

et al. 2011

Circ J

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“…Wesentlich besser sind demgegenüber die Verschlussraten durch Implantation von replazierbaren Metallspiralen (1, 3, 8,9,19,22,24,25). Berücksichtigt man die Tatsache, dass bei einzelnen Patienten der (21).…”

Section: Diskussionunclassified

Fortschritte beim interventionellen Verschluss des persistierenden Ductus arteriosus: Vergleich der Ergebnisse mit unterschiedlichen Verschlusssystemen

Koch¹,

Hofbeck²,

Buheitel³

et al. 2001

Z Kardiol

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This report describes our results with transcatheter closure of patent ductus arteriosus between March 1993 and May 2000 including our early experience with the Amplatzer duct occluder. One hundred and sixty-six consecutive procedures were performed in 160 patients. The mean age was 6.8 years (range 0.8 to 26.2), mean weight 24.3 kg (range 7.7 to 84.0). Single or multiple coils were implanted successfully in 114 cases, a Rashind double umbrella in 35 patients, and an Amplatzer duct occluder in 16 patients. After failure to implant coils in one patient, a second attempt with a Rashkind double umbrella was successful. Complete closure of the patent ductus arteriosus was achieved in a total of 148 patients (92.5%), mean fluoroscopy time was 13.7 min (range 3.1 to 126 min). In 144 patients (90.0%), occlusion without residual shunting was achieved by the first interventional approach. Angiography showed immediate closure in 44%, echocardiography within 48 h revealed complete closure in additional 28%. In a further 18%, a residual shunt disappeared spontaneously in the following months. In five patients a second procedure was performed to terminate residual shunting after placement of a Rashkind occluder system by coils. In three patients, the residual shunt resolved. In 12 patients (7.5%) echocardiography showed a residual shunt 2-1259 days after interventional approach. Occlusion rates of the different devices were 83% for the Rashkind occluder, 92% for detachable coils, and 100% for the Amplatzer duct occluder. Coil embolisation into the pulmonary artery occurred in two patients, interventional removal was successful in one of them. There were no further complications. According to our experience interventional occlusion of patent ductus arteriosus is highly effective and associated with a low complication rate. Transcatheter closure using the Amplatzer duct occluder seems to be safe and effective also in small children with a body weight of 8 kg and a large ductus diameter. Compared to the total group of patients, the occlusion rate of the Amplatzer duct occluder was significantly higher (p = 0.005), and of the Rashkind occluder system significantly lower (p = 0.026). Therefore, we recommend the use of detachable coils in patients with small ductus (diameter < or = 2 mm) and the Amplatzer duct occluder in those with a larger ductus. Transcatheter closure of the patent ductus arteriosus according to this regimen should achieve occlusion rates above 95%.

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Safety and efficacy of interventional occlusion of patent ductus arteriosus with detachable coils: a multicentre experience

Abstract: In our opinion, Cook detachable coils are safe and effective especially in the treatment of persistent ductus arteriosus with a diameter < or = 2.5 mm. Due to the low costs these coils appear to be superior to other devices in this subgroup of patients.

Cited by 38 publications

References 42 publications

Transcatheter occlusion of patent ductus arteriosus using tornado platinum coils

Transcatheter occlusion of patent ductus arteriosus using tornado platinum coils

Long-Term Outcome of Coil Occlusion in Patients With Patent Ductus Arteriosus

Fortschritte beim interventionellen Verschluss des persistierenden Ductus arteriosus: Vergleich der Ergebnisse mit unterschiedlichen Verschlusssystemen

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