TRANSCATHETER CLOSURE OF PATENT DUCTUS ARTERIOSUS

作     者：高伟 周爱卿 余志庆 李奋 王荣发 黄美蓉 GAO Wei , ZHOU Ai-qing , YU Zhi-qing , LI Fen , WANG Rong-fa , HUANG Mei-rong Department of Pediatric Cardiology, Shanghai Children’s Medical Center, SSMU, Shanghai 200127, China

作者机构：Department of Pediatric Cardiology Shanghai Childrens Medical Center SSMU Shanghai 200127 China 

出 版 物：《Journal of Shanghai Second Medical University(Foreign Language Edition)》 (上海第二医科大学学报（英文版）)

年 卷 期：2002年第14卷第1期

页      面：37-39页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：patent ductus arteriosus embolic device interventional therapeutic 

摘      要：Objective To explore the efficacy of transcatheter closure of patent ductus arteriosus (PDA) with detachable coil and Amplatzer duct occluder (ADO). Methods Transcatheter colsure of PDA was performed in 160 cases, aged 4.56±2.67 years, of whom 3 had residual shunt after surgical ligation, 2 had pulmomary stenosis (PS), 1 had coarctation of aorta (COA), 1 had right aortic arch, and 2 had atrial septal defect (ASD). Results Detachable coils (Duct Occlude pfm or Cook Inc) were successfully used in 51 patients with a smallest PDA diameter of 1.86±0.78mm. Amplatzer duct occluders were also successfully performed in other 109 with a moderate to large PDA diameter of 3.89±1.32mm, of whom 3 with PS or COA were performed balloon dilation firstly, and 2 with ASD were performed PDA occlusion firstly; 1 month to 4.8 years follow-up coil or Amplatzer device closure of PDA showed that neither residual shunt nor any complication. Conclusion It is suggested that the detachable coil and Amplatzer duct occluder are simple and safe for the catheter closure from small to large sized PDA.