Follow-up after coil closure of patent ductus arteriosus

Goyal, Venkat; Fulwani, Mahesh; Ramakantan, R; Kulkarni, Hema; Dalvi, Bharat

doi:10.1016/s0002-9149(98)00890-x

Cited by 24 publications

(25 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Videoscopic ductus interruption in the first few months of life [12], as practiced in western countries could further decrease the incidence of this rare but dreaded complication. Incomplete occlusion [13,14] and infective endocarditis after patent ductus arteriosus interruption after interventional procedures are also potential causes for development of aneurysm. Giant aneurysm formation after interventional procedure for patent ductus arteriosus has already been reported and it was repaired through median sternotomy using cardiopulmonary bypass [15].…”

Section: Discussionmentioning

confidence: 99%

Clinical profile of post-operative ductal aneurysm and usefulness of sternotomy and circulatory arrest for its repair

Varma

Vallath

Neema

et al. 2005

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

Repair of postoperative ductal aneurysm through left thoracotomy is difficult due to extreme fragility of aneurysm and because of reoperative difficulties. The immediate and long-term outcome of the cases operated through sternotomy using total circulatory arrest with minimal dissection is good. Midline sternotomy limits approach to descending thoracic aorta that can be circumvented by using transverse sternotomy with semi-right-lateral positioning of the patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical profile of post-operative ductal aneurysm and usefulness of sternotomy and circulatory arrest for its repair

Varma

Vallath

Neema

et al. 2005

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…2B). Small residual shunts frequently will close over time but may persist and require a second procedure to occlude the residual shunt with an additional coil [26,27]. For this reason, most operators place additional coils as necessary so that the residual angiographic shunting is absent or trivial.…”

Section: Currently Available Devices Gianturco Coilsmentioning

confidence: 99%

“…Retrieval of embolized coils is usually possible with a snare or bioptome, but even when not retrieved embolized coils have rarely been associated with adverse outcomes. Rare complications have occurred during attempts to retrieve embolized coils [27,37].…”

Section: Currently Available Devices Gianturco Coilsmentioning

confidence: 99%

Interventional treatment of patent ductus arteriosus in 2004

Moore

Levi

Moore

et al. 2004

Cathet. Cardiovasc. Intervent.

View full text Add to dashboard Cite

In 2004, the interventional treatment of patent ductus arteriosus (PDA) is definitive and curative. In current practice, coils are used for smaller PDA, and devices are employed for larger PDA. Developing technologies offer small improvements in control and results, but do not appear to promise major changes in practice. This review summarizes the current and emerging interventional technologies directed at PDA closures.

show abstract

“…The major complication is embolization 3 of the device, with an incidence ranging from 3.8% 4 to 20% 3 , especially in ductus arteriosus greater than 4 mm and those with tubular morphology. The risk is attenuated due to the possibility of coil retrieval during the interventional catheterization itself 5 , or due to the use of other more appropriate devices, such as the Amplatzer prosthesis 6 . The need for surgical removal of the embolus rarely occurs, which motivated this case report, in which embolization had occurred 6 months earlier, leading to impairment of perfusion to the left lung.…”

Section: Surgical Treatment Of Coil Embolization To the Pulmonary Artmentioning

confidence: 99%

Tratamento cirúrgico da embolização de coil para artéria pulmonar após tentativa de fechamento percutâneo do canal arterial

Atik¹,

Jatene²,

Costa³

et al. 2004

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

0infections. On physical examination, the patient was in good general condition, active, afebrile, acyanotic, eupneic, and his pulses were wide in his 4 limbs. His weight was 22 kg and his height 116 cm. His heart rate was 90 bpm, and his blood pressure was 100/50 mmHg. His precordial area showed no deformities, and the cardiac apex was palpated on the fifth left intercostal space in the midclavicular line. The second cardiac sound on the pulmonary focus had increased intensity. A continuous murmur of great intensity was heard in the high left sternal margin, accompanied by a thrill of equal intensity. The pulmonary auscultation was normal, and no visceromegaly was evidenced.The electrocardiogram showed sinus rhythm with a heart rate of 120 bpm, signs of left ventricular overload and diffuse alterations in ventricular repolarization. A simple chest X-ray showed a mildly enlarged cardiac area, bulging of the middle arch, and accentuation of the pulmonary vasculature, mainly in the hilar region.Doppler 2-dimensional echocardiography confirmed the clinical suspicion of persistent ductus arteriosus with increased pulmonary blood flow and a diameter of 4.5 mm. It was characterized as having moderate hemodynamic repercussion.The percutaneous treatment was chosen to close the ductus arteriosus. Because of the great dimension of the ductus arteriosus, 3 Gianturco coils (William Cook, Europe) were chosen and stacked. The procedure was not successful due to an accident in occluding the ductus arteriosus, with migration of the coils to the left pulmonary tree. In the same procedure, retrieval of 2 coils was possible; the last one became embedded in one branch of the left pulmonary artery, and could not be retrieved ( fig. 1).The patient underwent a complementary investigation to locate the precise site of coil embolization and to determine its repercussion on pulmonary perfusion. Pulmonary perfusion scintigraphy showed a decreased flow to the left lung (34%) as compared with that to the right lung (61%). In addition, chest computed tomography identified the presence of hypoattenuation of metallic density in the projection of the left descending interlobular artery.Because of the impairment of pulmonary perfusion to the left caused by coil embolization, surgical treatment was performed in a programmed and elective manner approximately 6 months after interventional catheterization. Under balanced general anesthesia, the following steps were taken: median sternotomy, longitudinal pericardiotomy, and installation of extracorporeal circulation through the ascending aorta and bicaval cannulation. Section and suture of the ductus arteriosus was performed during the cooling Case Report

show abstract

Follow-up after coil closure of patent ductus arteriosus

Cited by 24 publications

References 20 publications

Clinical profile of post-operative ductal aneurysm and usefulness of sternotomy and circulatory arrest for its repair

Clinical profile of post-operative ductal aneurysm and usefulness of sternotomy and circulatory arrest for its repair

Interventional treatment of patent ductus arteriosus in 2004

Tratamento cirúrgico da embolização de coil para artéria pulmonar após tentativa de fechamento percutâneo do canal arterial

Contact Info

Product

Resources

About