Transcatheter closure of patent ductus arteriosus with the Rashkind occluder. Acute results and angiographic follow-up in adults
| Autor: | R. Ensslen, Utech A, Andreas Fach, D. Scherer, Rainer Schräder, Schulze R, Horst Sievert, H Merle, H. Spies |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
Male congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Cardiac Catheterization Adolescent Catheterization Recurrence Internal medicine Ductus arteriosus Occlusion medicine Humans cardiovascular diseases Ductus Arteriosus Patent Aged medicine.diagnostic_test Adult patients business.industry Follow up studies Angiography Middle Aged Haemolysis Surgery Catheter medicine.anatomical_structure Treatment Outcome cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business Shunt (electrical) Follow-Up Studies |
| Zdroj: | European heart journal. 18(6) |
| ISSN: | 0195-668X |
| Popis: | We performed catheter closure of a patent ductus arteriosus with a Rashkind occluder in 51 adult patients (aged 14 to 76 years). The diameter of the ductus ranged from 2 to 13 mm (mean 4.5 +/- 2.0 mm), QP:QS from 1.0 to 2.6 (mean 1.6 +/- 0.3). The procedure was successful in 50/51 patients, in one of them at a second attempt. In one patient, the ductus could not be closed even with additional occluders. This patient was sent for surgery. In two patients with a large ductus, two Rashkind umbrellas were implanted simultaneously. Immediately after ductus closure, there was a residual shunt in 40/50 patients decreasing to 26/50 after 20 min. Two of the patients with a residual shunt suffered from haemolysis. In 16 patients, the residual shunt disappeared spontaneously within some months. In 15 patients, additional occluders (a second occluder in 12, a third occluder in one, and a fourth and fifth occluder in another) were implanted during the initial procedure or during follow-up. All patients were followed until angiography proved complete closure of the ductus. At the time of the last follow-up angiogram, the ductus was occluded in 49/50 patients; one patient refused a follow-up angiogram. Ductus occlusion with the Rashkind umbrella can be considered a technique with a high success rate and low rate of complications in adults. However, a residual shunt is not uncommon. Additional occluders have to be implanted in many patients. |
| Databáze: | OpenAIRE |
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