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Transcatheter closure of re-canalized patent ductus arteriosus after surgical ligation

Journal Article:

Abstract

Objective: To evaluate the effectiveness of transcatheter closure of re-canalized patent ductus arteriosus (PDA) after surgical ligation. Methods: Between June 1995 and November 2000, 14 patients (5 male, 9 female) with re-canalized PDA after surgical ligation underwent transcatheter closure, their median age was 13 years (range 4 to 48 years). The time between surgical ligation and the interventional procedure ranged from one month to twenty-two years. Implantations of Amplatzer duct occluder and Rashkind occluder were performed trans-venously. Cook coil occlusions was performed trans-arterially. Follow-up with X-ray radiograph and echocardiography was made 24 hours, 1, 3, 6 months, and more than 1 year after the procedure. Results: Twelve PDAs were of funnel shape, and the remaining two PDAs were of tubular shape. The median minimum diameter of re-canalized PDA after ligation was 4 mm (range 1 to 8 mm). Aortograms ten minutes after closure showed complete closure and trivial residual shunt in 11 and 3 patients, respectively. The technical success rate was 100%, and there were no complications. Echocardiography showed complete closure in all patients within 24 hours. All patients were discharged in one to two days after the procedure. At a follow-up of one to eighteen months in ten patients,  More>>
Authors:
Qingqiao, Zhang; Shiliang, Jiang; Lianjun, Huang; Shihua, Zhao; Hong, Zheng; Jian, Ling; Jinglin, Jin; Zhongying, Xu; Ruolan, Xie; Ruping, Dai [1] 
  1. Chinese Academy of Medical Science, Beijing Union Medical College, Beijing (China). Cardiovascular Inst. and Fuwai Hospital, Dept. of Radiology
Publication Date:
Feb 01, 2002
Product Type:
Journal Article
Resource Relation:
Journal Name: Chinese Journal of Radiology; Journal Volume: 36; Journal Issue: 2; Other Information: PBD: Feb 2002
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BIOMEDICAL RADIOGRAPHY; BLOOD VESSELS; CARDIOGRAPHY; CARDIOVASCULAR DISEASES; MEDICAL SURVEILLANCE; SURGERY; THERAPY; ULTRASONIC WAVES; X-RAY RADIOGRAPHY
OSTI ID:
20331635
Country of Origin:
China
Language:
Chinese
Other Identifying Numbers:
Journal ID: ISSN 1005-1201; CHFSAG; TRN: CN0300143019662
Submitting Site:
INIS
Size:
page(s) 108-110
Announcement Date:

Journal Article:

Citation Formats

Qingqiao, Zhang, Shiliang, Jiang, Lianjun, Huang, Shihua, Zhao, Hong, Zheng, Jian, Ling, Jinglin, Jin, Zhongying, Xu, Ruolan, Xie, and Ruping, Dai. Transcatheter closure of re-canalized patent ductus arteriosus after surgical ligation. China: N. p., 2002. Web.
Qingqiao, Zhang, Shiliang, Jiang, Lianjun, Huang, Shihua, Zhao, Hong, Zheng, Jian, Ling, Jinglin, Jin, Zhongying, Xu, Ruolan, Xie, & Ruping, Dai. Transcatheter closure of re-canalized patent ductus arteriosus after surgical ligation. China.
Qingqiao, Zhang, Shiliang, Jiang, Lianjun, Huang, Shihua, Zhao, Hong, Zheng, Jian, Ling, Jinglin, Jin, Zhongying, Xu, Ruolan, Xie, and Ruping, Dai. 2002. "Transcatheter closure of re-canalized patent ductus arteriosus after surgical ligation." China.
@misc{etde_20331635,
title = {Transcatheter closure of re-canalized patent ductus arteriosus after surgical ligation}
author = {Qingqiao, Zhang, Shiliang, Jiang, Lianjun, Huang, Shihua, Zhao, Hong, Zheng, Jian, Ling, Jinglin, Jin, Zhongying, Xu, Ruolan, Xie, and Ruping, Dai}
abstractNote = {Objective: To evaluate the effectiveness of transcatheter closure of re-canalized patent ductus arteriosus (PDA) after surgical ligation. Methods: Between June 1995 and November 2000, 14 patients (5 male, 9 female) with re-canalized PDA after surgical ligation underwent transcatheter closure, their median age was 13 years (range 4 to 48 years). The time between surgical ligation and the interventional procedure ranged from one month to twenty-two years. Implantations of Amplatzer duct occluder and Rashkind occluder were performed trans-venously. Cook coil occlusions was performed trans-arterially. Follow-up with X-ray radiograph and echocardiography was made 24 hours, 1, 3, 6 months, and more than 1 year after the procedure. Results: Twelve PDAs were of funnel shape, and the remaining two PDAs were of tubular shape. The median minimum diameter of re-canalized PDA after ligation was 4 mm (range 1 to 8 mm). Aortograms ten minutes after closure showed complete closure and trivial residual shunt in 11 and 3 patients, respectively. The technical success rate was 100%, and there were no complications. Echocardiography showed complete closure in all patients within 24 hours. All patients were discharged in one to two days after the procedure. At a follow-up of one to eighteen months in ten patients, there were no migration of devices and residual PDA. Conclusion: Transcatheter closure using Amplatzer duct occluder, coil (Cook company or Pfm company) and Rashkind occluder was an effective method for patients with re-canalized PDA after surgical ligation. It may be an alternative to second surgery owing to its safety, reliability, min-invasiveness, and short hospitalization.}
journal = {Chinese Journal of Radiology}
issue = {2}
volume = {36}
journal type = {AC}
place = {China}
year = {2002}
month = {Feb}
}