Transcatheter closure of patent arterial ducts using controlled-release coils

Abstract

Transcatheter closure of patent arterial ducts by controlled-release coils is effective and safe. Even when more than one coil is inserted the technique is still less cumbersome and considerably cheaper than transcatheter umbrella closure.

Retrograde wire‐assisted percutaneous transcatheter closure of persistent ductus arteriosus with Amplatzer duct occluder in the elderly: A new application

“…Several kinds of devices have been used in this percutaneous transcatheter approach, including Rashkind PDA occluder system [2], Gianturco coils [3], and Cook's detachable coils [4]. Recently, a new closing device, the Amplatzer duct occluder (ADO), has been utilized extensively.…”

Conservative Treatment of Hemolytic Complication Following Coil Embolization in Two Adult Cases of Patent Ductus Arteriosus.

“…However, dropout of coils, arctation of the left pulmonary artery and hemolysis are complications of coil embolization, with hemolysis being the major complication, occurring in approximately 1-2% of cases. 2,6,7 If the hemolysis progresses, hemoglobinuria induces renal damage and progression of anemia aggravates the congestive heart failure, so it must prevented. The mechanism for the hemolysis is considered to be mechanical stress through the residual shunt, which destroys the blood cells intravascularly.…”

“…2,3 Serious complications of coil embolization are coil migration and hemolysis caused by a residual shunt, 4,5 the latter being reported as the major complication with approximately 1-2% occurrence. 2,6,7 Although a hemolytic complication usually needs additional coil embolization 4,5 or surgical treatment, medical treatment may be preferable when the residual shunt is minimal and the degree of hemolysis is mild. We report 2 cases of large PDA that were treated by multiple coil embolization, complicated by hemolysis, but successfully managed by medical treatment.…”

“…1 However, there are some case reports in which large PDA were closed by placing more than 2 coils. 2,3 Serious complications of coil embolization are coil migration and hemolysis caused by a residual shunt, 4,5 the latter being reported as the major complication with approximately 1-2% occurrence. 2,6,7 Although a hemolytic complication usually needs additional coil embolization 4,5 or surgical treatment, medical treatment may be preferable when the residual shunt is minimal and the degree of hemolysis is mild.…”

Tratamento percutâneo vs. cirúrgico da persistência do canal arterial em crianças e adolescentes

“…Os pacientes com canais de anatomia dos tipos B e C são mais desafiadores e podem necessitar de técnicas alternativas não usuais. [21][22][23][24][25] A falta de acompanhamento ambulatorial de todos os pacientes do grupo cirúrgico é outra limitação e decorre da natureza retrospectiva da coleta de dados neste grupo. Por outro lado, o estudo aqui apresentado, apesar de não ter sido randomizado, e, por isso, introduzir vieses de seleção de pacientes, tem como ponto forte o fato de ter sido realizado com duas coortes praticamente contemporâneas de pacientes tratados em um único hospital de excelência, com equipes experientes e relativamente homogêneas, utilizando técnicas percutâneas e cirúrgicas bem estabelecidas e padronizadas.…”