Title Atviro arterinio latako perkateterinis uždarymas atsiskiriančiomis COOK spiralėmis - septynerių metų patirtis /
Translation of Title Patent ductus arteriosus acculsion with detachable COOK coils -seven years of experience.
Authors Čibiras, Sigitas Vladas ; Sudikienė, Rita ; Gumbienė, Lina ; Kosinskas, Eugenijus
DOI 10.15388/LietChirur.2007.3.2210
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Is Part of Lietuvos chirurgija. 2007, t. 5, Nr. 3, p. 375-380.. ISSN 1392-0995
Keywords [eng] patent ductus arteriosus ; congenital heart diseases ; interventional transcatheter therapy ; COOK detachable coils
Abstract [eng] Background / objective: Seven years of patent ductus arteriosus (PDA) transcatheter occlusion experience in clinic is reviewed, evaluating results in different PDA size and anatomical type groups. Patients and methods: Data of 75 patients that underwent PDA closure with COOK detachable coils at the Vilnius Heart Disease Clinic from 1999 to 2006 were analysed. Patients with a moderate PDA diameter (<3 mm) were echoscopy-selected for the procedure. The PDA closure method, applied in the dinic is described. According to PDA size, the patients were divided into three groups and according to anatomy into 5 groups. The results in different groups were compared. The shunt was evaluated immediately after closure, after 24 hours, and after 1, 6 and 12 months. nv. , Results The angiographic appearance of the duetus was type A in 59, type C in 8, type D in 5, type E in 3 patients. Depending on the PDA diameter, there were three groups of the patients (<2 mm, 2-3 mm, >3 mm). The best results were observed in the first group: immediate complete closure was achieved in 80% of cases, after six months in 87.5% and after 1 year in 100%. Conclusions: Transcatheter coil occlusion of PDA with COOK detachable coils is a safe alternative to surgical treatment. lt is less a invasive and economical method of treatment. The procedure itself is shorter, its results in a shorter convalescence period and has a good cosmetic effect. This technique is effective for small and moderate PDA (to 3 mm).
Type Journal article
Language Lithuanian
Publication date 2007
CC license CC license description