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Clinical results and radiographic appearance of the Rashkind double umbrella device in patients with occlusion of the ductus arteriosus

Abstract

Background. The Rashkind double umbrella device for patent arterial duct occlusion has been used in many patients. Its radiographic appearance has not been sufficiently described. Objective. To present the varying radiographic appearances of the Rashkind double umbrella device on the chest X-ray. Materials and methods. The chest radiographs of 69 patients (median age 60 months; median weight 17 kg), who underwent closure of their patent arterial duct between March 1990 and August 1994, were reviewed. The following parameters were evaluated: (1) the size of the heart (cardio-thoracic ratio) and pulmonary vessels, (2) the position of the device in AP/PA and lateral projections. The results of occlusion of the patent arterial duct were also reviewed. Results. Sixty-two of 69 (90 %) pa- tients had complete occlusion after a follow-up between 2 months and 3{sup 1}/{sub 2} years. The cardio-thoracic ratio showed significant reduction at follow-up (P < 0.001). The two different size devices could be well differentiated in the AP and the lateral projection. In 14 patients (20 %) the device was in an asymmetrical position. There was no significant correlation between position of the device and success of occlusion in our material. Conclusion. Complete occlusion of the arterial duct using  More>>
Authors:
Galal, O; [1]  Sinner, W von; Azhari, N; Al-Fadley, F; De Moor, M; Boecker, J; Fawzy, M E; Al-Halees, Z [1] 
  1. King Faisal Specialist Hospital and Research Centre, Riyadh (Saudi Arabia)
Publication Date:
Dec 01, 1997
Product Type:
Journal Article
Reference Number:
SCA: 550602; PA: DEN-97:0FI637; EDB-98:011277; SN: 98001895851
Resource Relation:
Journal Name: Pediatric Radiology; Journal Volume: 27; Journal Issue: 12; Other Information: PBD: Dec 1997
Subject:
55 BIOLOGY AND MEDICINE, BASIC STUDIES; BIOMEDICAL RADIOGRAPHY; ARTERIES; HEART; CARDIOVASCULAR DISEASES; REVIEWS
OSTI ID:
560408
Country of Origin:
Germany
Language:
English
Other Identifying Numbers:
Journal ID: PDRYA5; ISSN 0301-0449; TRN: DE97FI637
Submitting Site:
DEN
Size:
pp. 936-941
Announcement Date:

Citation Formats

Galal, O, Sinner, W von, Azhari, N, Al-Fadley, F, De Moor, M, Boecker, J, Fawzy, M E, and Al-Halees, Z. Clinical results and radiographic appearance of the Rashkind double umbrella device in patients with occlusion of the ductus arteriosus. Germany: N. p., 1997. Web. doi:10.1007/s002470050276.
Galal, O, Sinner, W von, Azhari, N, Al-Fadley, F, De Moor, M, Boecker, J, Fawzy, M E, & Al-Halees, Z. Clinical results and radiographic appearance of the Rashkind double umbrella device in patients with occlusion of the ductus arteriosus. Germany. doi:10.1007/s002470050276.
Galal, O, Sinner, W von, Azhari, N, Al-Fadley, F, De Moor, M, Boecker, J, Fawzy, M E, and Al-Halees, Z. 1997. "Clinical results and radiographic appearance of the Rashkind double umbrella device in patients with occlusion of the ductus arteriosus." Germany. doi:10.1007/s002470050276. https://www.osti.gov/servlets/purl/10.1007/s002470050276.
@misc{etde_560408,
title = {Clinical results and radiographic appearance of the Rashkind double umbrella device in patients with occlusion of the ductus arteriosus}
author = {Galal, O, Sinner, W von, Azhari, N, Al-Fadley, F, De Moor, M, Boecker, J, Fawzy, M E, and Al-Halees, Z}
abstractNote = {Background. The Rashkind double umbrella device for patent arterial duct occlusion has been used in many patients. Its radiographic appearance has not been sufficiently described. Objective. To present the varying radiographic appearances of the Rashkind double umbrella device on the chest X-ray. Materials and methods. The chest radiographs of 69 patients (median age 60 months; median weight 17 kg), who underwent closure of their patent arterial duct between March 1990 and August 1994, were reviewed. The following parameters were evaluated: (1) the size of the heart (cardio-thoracic ratio) and pulmonary vessels, (2) the position of the device in AP/PA and lateral projections. The results of occlusion of the patent arterial duct were also reviewed. Results. Sixty-two of 69 (90 %) pa- tients had complete occlusion after a follow-up between 2 months and 3{sup 1}/{sub 2} years. The cardio-thoracic ratio showed significant reduction at follow-up (P < 0.001). The two different size devices could be well differentiated in the AP and the lateral projection. In 14 patients (20 %) the device was in an asymmetrical position. There was no significant correlation between position of the device and success of occlusion in our material. Conclusion. Complete occlusion of the arterial duct using Rashkind double umbrella devices can be achieved in 90 % of our population. In 20 % the device will have an asymmetrical position. There is no correlation between asymmetrical position of the device in the chest radiograph and residual shunting. (orig.) With 7 figs., 12 refs.}
doi = {10.1007/s002470050276}
journal = {Pediatric Radiology}
issue = {12}
volume = {27}
journal type = {AC}
place = {Germany}
year = {1997}
month = {Dec}
}