Clinical study application of Amplatzer duct occluder Ⅱ to occlude aortopulmonary collateral arteries
10.3969/j.issn.1004-8812.2016.02.004
- VernacularTitle:第Ⅱ代动脉导管未闭封堵器栓塞幼儿体肺侧支的临床应用
- Author:
Junyi WAN
;
Gejun ZHANG
;
Zhongying XU
;
Shiliang JIANG
;
Jinglin JIN
;
Shiguo LI
;
Haibo HU
;
Huijun SONG
;
Chaowu YAN
;
Qiong LIU
;
Liang XU
- Publication Type:Journal Article
- Keywords:
Amplatzer duct occluder Ⅱ;
Interventional embolization;
Aortopulmonary collateral arteries
- From:
Chinese Journal of Interventional Cardiology
2016;24(2):79-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the feasibility and efficacy of Amplatzer duct occluder Ⅱ (ADOⅡ) in occlusion of aortopulmonary collateral arteries. Methods Seven patients,6 males and 1 female, with aortopulmonary collateral circulation diagnosed previously by cardiac Computed Tomograpy or cardioangiography from Mar 2014 to Apr 2015 were enrolled. All of them were treated with ADO Ⅱ. Results The age of the patients ranged between 5 - 71 months old and weight 4. 2 - 22. 0 kg. Successful hybrid approach was achieved in 6 of 7 patients. One patient failed the occlusion because of severe hypoxemia and mild-moderate residual shunt after catheter intervention. Total 15 aortopulmonary collateral vessels were embolized by 7 ADO-Ⅱ, 22 non-detachable coils ( Cook corp. ) and 2 detachable micro-coils ( Boston Scientific corp. ). Complete embolization was achieved in 2 patients,4 patients had mild residual shunt and 1 patient had mild-moderate residual shunt after the embolisation. No interventional complications recorded. Conclusions ADO Ⅱ has high controllability and suitable for application through small delivery catheter for minimally-invasive procedures to the vessels. It is a preferable alternative in treating pediatric patients with large and tortuous aortopulmonary collateral arteries.
