Skip to main content
NCBI home page
Heart logoLink to Heart
. 1996 Dec;76(6):531–535. doi: 10.1136/hrt.76.6.531

Transcatheter occlusion of the patent ductus arteriosus with Cook detachable coils.

A J Tometzki 1, R Arnold 1, I Peart 1, N Sreeram 1, J M Abdulhamed 1, M J Godman 1, R G Patel 1, D J Kitchiner 1, F A Bu'Lock 1, K P Walsh 1
PMCID: PMC484608  PMID: 9014804

Abstract

OBJECTIVE: To report initial experience with a new occlusion device for native and residual patent ductus arteriosus. DESIGN: Descriptive study of consecutive non-randomised patients undergoing a new method of patent ductus arteriosus closure with detachable coils. SETTING: Tertiary centres for paediatric cardiology. PATIENTS: 71 consecutive patients, aged 1.2-22 years, with a patent ductus arteriosus (PDA) underwent elective transcatheter closure. 45 had native PDAs (group A) with a minimum diameter of 1.0 mm-5.0 mm (median 2.0 mm). A further 26 had undergone one or more previous occlusion attempts (group B). INTERVENTIONS: A total of 133 detachable (Cook) spring coils were successfully implanted in 70 patients. The procedure was performed transvenously in 51 patients, retrograde arterially in 13, and by both routes in a further 6 patients. One 5 mm coil migrated but was successfully retrieved. MAIN OUTCOME MEASURES: In group A colour flow Doppler echocardiography showed that complete occlusion was achieved in 40/45 (89%) at 24 hours, 41/45 (91%) at 1 month, and 44/45 (98%) by 6 months post procedure. Occlusion rates in residual PDAs were 22/25 (88%) occluded at 24 hours, 23/25 (92%) at 1 month, and 24/25 (96%) at 6 months follow up. CONCLUSIONS: Transcatheter occlusion using detachable (Cook) spring coils is a safe and effective alternative to presently available devices. The delivery system allows full retrieval of the coil until a satisfactory position is obtained.

Full text

PDF
531

Images in this article

532Image
on p.532
533Image
on p.533
533Image
on p.533

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ali Khan M. A., al Yousef S., Mullins C. E., Sawyer W. Experience with 205 procedures of transcatheter closure of ductus arteriosus in 182 patients, with special reference to residual shunts and long-term follow-up. J Thorac Cardiovasc Surg. 1992 Dec;104(6):1721–1727. [PubMed] [Google Scholar]
  2. Cambier P. A., Kirby W. C., Wortham D. C., Moore J. W. Percutaneous closure of the small (less than 2.5 mm) patent ductus arteriosus using coil embolization. Am J Cardiol. 1992 Mar 15;69(8):815–816. doi: 10.1016/0002-9149(92)90514-y. [DOI] [PubMed] [Google Scholar]
  3. Gatzoulis M. A., Rigby M. L., Redington A. N. Umbrella occlusion of persistent arterial duct in children under two years. Br Heart J. 1994 Oct;72(4):364–367. doi: 10.1136/hrt.72.4.364. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Gray D. T., Fyler D. C., Walker A. M., Weinstein M. C., Chalmers T. C. Clinical outcomes and costs of transcatheter as compared with surgical closure of patent ductus arteriosus. The Patient Ductus Arteriosus Closure Comparative Study Group. N Engl J Med. 1993 Nov 18;329(21):1517–1523. doi: 10.1056/NEJM199311183292101. [DOI] [PubMed] [Google Scholar]
  5. Hijazi Z. M., Geggel R. L. Results of anterograde transcatheter closure of patent ductus arteriosus using single or multiple Gianturco coils. Am J Cardiol. 1994 Nov 1;74(9):925–929. doi: 10.1016/0002-9149(94)90588-6. [DOI] [PubMed] [Google Scholar]
  6. Krichenko A., Benson L. N., Burrows P., Möes C. A., McLaughlin P., Freedom R. M. Angiographic classification of the isolated, persistently patent ductus arteriosus and implications for percutaneous catheter occlusion. Am J Cardiol. 1989 Apr 1;63(12):877–880. doi: 10.1016/0002-9149(89)90064-7. [DOI] [PubMed] [Google Scholar]
  7. Latson L. A. Residual shunts after transcatheter closure of patent ductus arteriosus. A major concern or benign "techno-malady"? Circulation. 1991 Dec;84(6):2591–2593. doi: 10.1161/01.cir.84.6.2591. [DOI] [PubMed] [Google Scholar]
  8. Moore J. W., George L., Kirkpatrick S. E., Mathewson J. W., Spicer R. L., Uzark K., Rothman A., Cambier P. A., Slack M. C., Kirby W. C. Percutaneous closure of the small patent ductus arteriosus using occluding spring coils. J Am Coll Cardiol. 1994 Mar 1;23(3):759–765. doi: 10.1016/0735-1097(94)90765-x. [DOI] [PubMed] [Google Scholar]
  9. Rashkind W. J., Mullins C. E., Hellenbrand W. E., Tait M. A. Nonsurgical closure of patent ductus arteriosus: clinical application of the Rashkind PDA Occluder System. Circulation. 1987 Mar;75(3):583–592. doi: 10.1161/01.cir.75.3.583. [DOI] [PubMed] [Google Scholar]

Articles from Heart are provided here courtesy of BMJ Publishing Group

RESOURCES