Tratamento endovascular da persistência do canal arterial em adulto

Gaia, Diego Felipe; Palma, José Honório; Kim, Hyung Chun; Souza, José Augusto Marcondes de; Alves, Claudia; Buffolo, Ênio

doi:10.1590/s0066-782x2008001400015

Cited by 4 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patent ductus arteriosus (PDA), a persistent left to right shunt at great arterial level, accounts up to 10% of all congenital heart disease [1]. It may remain asymptomatic or may complicate into pulmonary vascular disease, atrial fibrillation, dissection of the pulmonary artery, endocarditis, Eisenmenger's syndrome, congestive heart failure, and rarely sudden death [2,3]. Therefore, all PDA with left atrial and/or left ventricular enlargement, pulmonary arterial hypertension, or symptoms should undergo either percutaneous or surgical intervention as mortality rates may reach to 20% at third decade.…”

Section: Introductionmentioning

confidence: 99%

Importance of pin-vise during Coccoon duct Occluder (CDO) deployment during Patent Ductus Arteriosus (PDA) closure

et al. 2016

View full text Add to dashboard Cite

Patent ductus arteriosus (PDA), a persistent left to right shunt at great arterial level, accounts up to 10% of all congenital heart disease. Here, we report a case of a 6-month old baby with large PDA (5mm) whose percutaneous closure was planned. The Coccoon Duct Occluder (CDO)-8/6 was fitted by rotating it clockwise over the delivery cable and the assembly of loader-cable-device was advanced into the descending aorta. The device was properly positioned across the PDA as both the aortic, and pulmonic side of the devise was properly opened. The device was then released by turning the delivery cable counterclockwise using the pin vise, but inadvertently the delivery sheath remained attached to the pulmonic side of the device. All efforts to rescrew the delivery cable to the device failed. The delivery sheath was gently rotated counterclockwise over the device to detach it successfully from the pulmonic end of the device, thereby securing its perfect placement. Aortogram using the pigtail catheter confirmed its perfect position with no residual shunt. Therefore, delivery sheath should be pulled fair enough proximal to the pulmonic end of the device before releasing it by rotating the pin-vise counter clockwise.

show abstract

Section: Introductionmentioning

confidence: 99%

Importance of pin-vise during Coccoon duct Occluder (CDO) deployment during Patent Ductus Arteriosus (PDA) closure

et al. 2016

View full text Add to dashboard Cite

show abstract

Balloon assisted retrieval of broken catheter in a 10-months old baby with patent ductus arteriosus: Case report

Sinha

Razi

Aggarwal

et al. 2018

Journal of Indian College of Cardiology

View full text Add to dashboard Cite

Prospective evaluation of the feasibility, safety, and efficacy of Cocoon Duct Occluder for transcatheter closure of large patent ductus arteriosus: A single-center study with short- and medium-term follow-up results

Sinha

Razi²,

Pandey³

et al. 2017

Anatol J Cardiol

View full text Add to dashboard Cite

Objective: To evaluate the feasibility, safety, and efficacy of a novel Cocoon Duct Occluder device for the transcatheter closure (TCC) of large patent ductus arteriosus (PDA). Methods: In this prospective, non-randomized study, consecutive patients with large PDA (narrowest diameter: ≥3.5/4.0 mm in symptomatic/asymptomatic patients, respectively), who underwent TCC with Cocoon Duct Occluder at our institute between November, 2012 and June, 2016 were examined. TCC was performed using the standard technique, and devices were antegradely delivered via 6–10F delivery sheaths. Device embolization, residual shunt, hemolysis, left pulmonary artery (LPA) stenosis, procedural and fluoroscopy time, and mortality were assessed. Patients were followed-up by transthoracic echocardiography with color Doppler imaging at 24 h (D1), 1 month (D30), and 6 months (D180) after implantation. Results: A total of 57 patients (age: 11.7±2.8 years; weight: 22.3±3.5 kg) were enrolled. The mean narrowest diameter was 7.4±0.7 mm. The PDA closure was successfully performed in each patient. Fluoroscopy and procedural time was 6.7±3.2 min and 23.9±2.7 min, respectively. Postprocedural angiography revealed that 49 (85.9%) patients had immediate and complete closure, whereas 8 (14.1%) had residual shunt. Color Doppler imaging at D1 revealed complete closure in 52 (91.3%) patients. At D30, complete closure was reported in all patients and was maintained at D180. Hemolysis, embolization, obstruction of LPA or descending aorta, and death were not reported till D180. Conclusion: TCC using Cocoon Duct Occluder is feasible, safe, and effective in the management of patients with large PDA, with excellent results on short- and medium-term follow-up.

show abstract

Tratamento endovascular da persistência do canal arterial em adulto

Cited by 4 publications

References 4 publications

Importance of pin-vise during Coccoon duct Occluder (CDO) deployment during Patent Ductus Arteriosus (PDA) closure

Importance of pin-vise during Coccoon duct Occluder (CDO) deployment during Patent Ductus Arteriosus (PDA) closure

Balloon assisted retrieval of broken catheter in a 10-months old baby with patent ductus arteriosus: Case report

Prospective evaluation of the feasibility, safety, and efficacy of Cocoon Duct Occluder for transcatheter closure of large patent ductus arteriosus: A single-center study with short- and medium-term follow-up results

Contact Info

Product

Resources

About