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[Percutaneous transcatheter coil embolization of the patent ductus arteriosus for elderly patient with left
1Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan.
Insights
Coil embolization successfully closed a patient ductus arteriosus in a 64-year-old male with left ventricular dysfunction. Follow-up confirmed complete ductus occlusion, resolving the heart condition.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Device Technology
Background:
- Patent ductus arteriosus (PDA) can lead to significant cardiovascular complications, including left ventricular dysfunction.
- Transcatheter coil embolization offers a minimally invasive treatment option for PDA closure.
Observation:
- A 64-year-old male patient presented with PDA and concurrent left ventricular dysfunction.
- The procedure involved a combination of the "snare method" and "cross catheter technique" for coil delivery.
Findings:
- Two coils were successfully deployed: one via a transvenous approach and another via a transarterial approach.
- Post-procedure echocardiography at 7 months revealed complete occlusion of the PDA.
- A small residual shunt was noted immediately after discharge but resolved over time.
Implications:
- This case demonstrates the efficacy of combined transvenous and transarterial coil embolization for PDA closure in adults.
- The technique provides a viable alternative to surgical intervention for PDA with ventricular dysfunction.
- Successful PDA occlusion can improve cardiac function and patient outcomes.
Abstract:
We performed the coil embolization for 64-year-old male with patent ductus arteriosus and left ventricular dysfunction. We used "snare method" and "cross catheter technique" delivering one coil transvenously and one coil transarterially. Echocardiograms at 7 month after the procedure demonstrated complete occlusion of the ductus, though small shunt was detected at discharge.