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Related Experiment Videos

[Closure of a persistent ductus arteriosus Botallo without thoracotomy]

L Belau1, L Grävinghoff, E W Keck

  • 1Kardiologische Abteilung, Universitäts-Krankenhaus Eppendorf, Hamburg.

Deutsche Medizinische Wochenschrift (1946)
|February 12, 1993
PubMed
Summary

The Rashkind occlusion system effectively closed persisting ductus arteriosus (PDA) in most patients. This minimally invasive procedure is suitable for patients over 5 kg with PDA diameters less than 10 mm.

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Area of Science:

  • Cardiovascular Medicine
  • Pediatric Cardiology
  • Interventional Cardiology

Context:

  • A persisting ductus arteriosus (PDA) is a congenital heart defect requiring intervention.
  • Traditional closure methods can be invasive.
  • The Rashkind occlusion system offers a less invasive alternative.

Purpose:

  • To evaluate the efficacy and safety of the Rashkind occlusion system for closing PDA.
  • To assess outcomes in both pediatric and adult patients.

Summary:

  • The Rashkind occlusion system was used to close PDA in 15 patients (12 children, 3 adults).
  • The device, a double umbrella, is implanted via a catheter, promoting closure through thrombosis and epithelialization.
  • Mean PDA diameter was 2.4 mm (range 1.4-5.3 mm).

Related Experiment Videos

  • Complete occlusion was achieved in 8 patients; residual shunts in 7.
  • One adult with a residual shunt required surgical closure due to hemolysis.

    • Impact:

    • The Rashkind method is a sparing and minimally invasive procedure for PDA closure.
    • It is indicated for patients weighing over 5 kg with PDA diameters less than 10 mm.
    • The study demonstrates a favorable safety profile with no procedural complications or embolization.