Mid-term Result of the Transcatheter Occlusion of Patent Ductus Arteriosus with Duct-Occlud Device and Procedure-Related Problems.
- Author:
Yuria KIM
1
;
Jae Young CHOI
;
Jong Kyun LEE
;
Jun Hee SUL
;
Sung Kyu LEE
;
Young Hwan PARK
;
Bum Koo CHO
Author Information
1. Division of Pediatric Cardiology, Cardiovascular Surgery, Yonsei Cardiovascular Center, Korea. cjy0122@yumc.yonsei.ac.kr
- Publication Type:Original Article
- Keywords:
Patent ductus arterisus;
Duct-Occlud;
Transcatheter occlusion
- MeSH:
Catheters;
Ductus Arteriosus, Patent*;
Echocardiography;
Follow-Up Studies;
Humans;
Rupture;
SNARE Proteins
- From:Korean Journal of Pediatrics
2004;47(1):36-43
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We will present our mid-term result of transcatheter closure of PDA with Duct-Occlud device(pfm. AG. Germany) after 12 months follow up and report the problems during the procedure. METHODS: In total 154 patients, the Duct-Occlud devices were inserted in our institute from March, 1996 to August, 2002. Three types of Duct-Occlud device, i.e standard, reinforced, reinforced reverse cone coil were used. Echocardiographic examination was performed at 1, 6, 12 months after procedure. RESULTS: The echocardiographic closure rate was 96% after 12 months. The rates of residual shunt in the standard coil, the reverse cone coil, and the reinforced reverse cone group were 8%, 4% and 3% respectively. In PDA with diameter less than 4 mm, the closure rate was up to 98% while in large PDA with more than 4 mm, it was 72% after 12 months. Embolization of the inserted coils had occurred in 5 cases with successful retrieval using snare catheter. The rupture of the core wire during the procedure and distortion of the original coil shape had occurred in 4 cases. CONCLUSION: The transcatheter occlusion with Duct Occlud is safe and effective method for small to moderate sized PDA less than 4 mm. The minimum diameter of the PDA seems to be the predictor of residual shunt. Further refinement of the device to overcome the procedure-related problems seems to be needed.
