Nonsurgical Treatment for Severe Hemolysis Following Transcatheter Closure of the Patent Ductus Arteriosus Using the Rashkind Umbrella Device.
- Author:
Hyun Sook KIM
1
;
Seok Won CHUNG
;
Hoon Ki PARK
;
Seung Ho KANG
;
Cheol Whan LEE
;
Myeong Ki HONG
;
Jae Joong KIM
;
Seong Wook PARK
;
Seung Jung PARK
Author Information
1. Department of Internal Medicine, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
patent ductus arteriosus;
Rashkind umbrella device;
hemolysis
- MeSH:
Ductus Arteriosus, Patent*;
Hemolysis*;
Ligation
- From:Korean Journal of Medicine
1998;55(1):124-126
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transcatheter occlusion of the patent ductus arteriosus(PDA) using the Rashkind double umbrella device has become an accepted practice as an effective alternative to surgical ligation in many centers. We experienced three cases of medically refractory severe mechanical hemolysis following transcatheter closure of PDA due to residual shunt. Hemolysis resolved rapidly and completely after deployment of second or more Rashkind umbrellas without surgical correction of the residual shunt. In conclusion, reinsertion of the Rashkind umbrella is a useful modality for treatment of severe hemolysis developed after transcatheter closure of the PDA.