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Long-term efficacy of transcatheter closure of patent ductus arteriosus with the Rashkind double umbrella

Abstract

Objective: To evaluate the long-term efficacy of transcatheter patent ductus arteriosus (PDA) closure with the Rashkind double umbrella. Methods: Between July 1994 and December 1998, forty nine patients (12 male, 37 female) at a mean age of (21 {+-} 13) years (range 2.4 to 54 years) underwent attempted transcatheter closure of a PDA using the Rashkind double umbrella. The Rashkind double umbrella was implanted through femoral venous route. Aortography was performed to check any residual shunt presence, 10 to 30 minutes after the closure, and at 6-month intervals thereafter. Results: Forty seven of the 49 patients had successful device placement. Two patients underwent surgical therapy. The prevalence of trace, mild, moderate, and large residual shunt was 12.8% (6/47), 27.7%(13/47), 25.5%(12/47), and 14.8% (7/47), respectively, and the prevalence of complete closure was 19.2%(9/47) 10 to 30 minutes after the procedure. Of the 49 patients, 36 completed short-term ({<=}3 months) follow-up, the prevalence of residual shunt was 44.4%(16/36) at 3 months. 30 patients completed medium-term (>3 months and {<=}36 months) follow-up, the prevalence of residual shunt was 13.3% (4/30) at 36 months. For the long-term (>36 months) follow-up (38-96 months, mean 60{+-}12 months) in 25 patients, there were 4 patients with residual  More>>
Authors:
Qingqiao, Zhang; Shiliang, Jiang; Lianjun, Huang; Shihua, Zhao; Hong, Zheng; Jian, Ling; Zhongying, Xu; Gejun, Zhang; Ruolan, Xie; Ruping, Dai [1] 
  1. Chinese academy of Medical Science and Beijing Union Medical College, Beijing (China). Cardiovascular Institute and Fuwai Hospital, Dept. of Radiology
Publication Date:
Oct 01, 2003
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of Interventional Radiology; Journal Volume: 12; Journal Issue: 5; Other Information: PBD: Oct 2003
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; AORTA; ARTERIES; BIOLOGICAL REPAIR; BIOMEDICAL RADIOGRAPHY; BYPASSES; CARDIOVASCULAR DISEASES; CLOSURES; CONGENITAL MALFORMATIONS; EFFICIENCY; ENCAPSULATION; FLOW BLOCKAGE; IMAGES; IMPLANTS; PLASTIC SURGERY; TECHNOLOGY ASSESSMENT; THERAPY
OSTI ID:
20469807
Country of Origin:
China
Language:
Chinese
Other Identifying Numbers:
Journal ID: ISSN 1008-794X; TRN: CN0401291044733
Submitting Site:
INIS
Size:
page(s) 331-333
Announcement Date:
Jun 18, 2004

Citation Formats

Qingqiao, Zhang, Shiliang, Jiang, Lianjun, Huang, Shihua, Zhao, Hong, Zheng, Jian, Ling, Zhongying, Xu, Gejun, Zhang, Ruolan, Xie, and Ruping, Dai. Long-term efficacy of transcatheter closure of patent ductus arteriosus with the Rashkind double umbrella. China: N. p., 2003. Web.
Qingqiao, Zhang, Shiliang, Jiang, Lianjun, Huang, Shihua, Zhao, Hong, Zheng, Jian, Ling, Zhongying, Xu, Gejun, Zhang, Ruolan, Xie, &amp; Ruping, Dai. Long-term efficacy of transcatheter closure of patent ductus arteriosus with the Rashkind double umbrella. China.
Qingqiao, Zhang, Shiliang, Jiang, Lianjun, Huang, Shihua, Zhao, Hong, Zheng, Jian, Ling, Zhongying, Xu, Gejun, Zhang, Ruolan, Xie, and Ruping, Dai. 2003. "Long-term efficacy of transcatheter closure of patent ductus arteriosus with the Rashkind double umbrella." China.
@misc{etde_20469807,
title = {Long-term efficacy of transcatheter closure of patent ductus arteriosus with the Rashkind double umbrella}
author = {Qingqiao, Zhang, Shiliang, Jiang, Lianjun, Huang, Shihua, Zhao, Hong, Zheng, Jian, Ling, Zhongying, Xu, Gejun, Zhang, Ruolan, Xie, and Ruping, Dai}
abstractNote = {Objective: To evaluate the long-term efficacy of transcatheter patent ductus arteriosus (PDA) closure with the Rashkind double umbrella. Methods: Between July 1994 and December 1998, forty nine patients (12 male, 37 female) at a mean age of (21 {+-} 13) years (range 2.4 to 54 years) underwent attempted transcatheter closure of a PDA using the Rashkind double umbrella. The Rashkind double umbrella was implanted through femoral venous route. Aortography was performed to check any residual shunt presence, 10 to 30 minutes after the closure, and at 6-month intervals thereafter. Results: Forty seven of the 49 patients had successful device placement. Two patients underwent surgical therapy. The prevalence of trace, mild, moderate, and large residual shunt was 12.8% (6/47), 27.7%(13/47), 25.5%(12/47), and 14.8% (7/47), respectively, and the prevalence of complete closure was 19.2%(9/47) 10 to 30 minutes after the procedure. Of the 49 patients, 36 completed short-term ({<=}3 months) follow-up, the prevalence of residual shunt was 44.4%(16/36) at 3 months. 30 patients completed medium-term (>3 months and {<=}36 months) follow-up, the prevalence of residual shunt was 13.3% (4/30) at 36 months. For the long-term (>36 months) follow-up (38-96 months, mean 60{+-}12 months) in 25 patients, there were 4 patients with residual shunt across PDA. Two patients with residual shunt at 46 and 48 months, respectively, had complete closure after reocclusion using the Amplatzer duct occluder. Conclusions: The long-term residual shunt after closure of PDA with the Rashkind double umbrella can not disappear spontaneously, thus a second device is sometimes needed to achieve complete closure.}
journal = []
issue = {5}
volume = {12}
journal type = {AC}
place = {China}
year = {2003}
month = {Oct}
}