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Patent ductus arteriosus occlusion using detachable coils
R Bermúdez-Cañete1, G Santoro, J Bialkowsky
1Division of Pediatric Cardiology, Ramón y Cajal Hospital, Madrid, Spain.
The American Journal of Cardiology
|January 5, 1999
Summary
Detachable coils effectively closed the patent ductus arteriosus in most cases. This safe, low-cost method is suitable for various ductus sizes, offering a reliable treatment option.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Pediatric Cardiology
Background:
- Patent ductus arteriosus (PDA) is a common congenital heart defect.
- Nonsurgical interventions are increasingly preferred for PDA management.
Purpose of the Study:
- To evaluate the safety and efficacy of detachable coils for PDA occlusion.
- To assess the cost-effectiveness of this interventional technique.
Main Methods:
- Retrospective analysis of 193 cases undergoing PDA occlusion.
- Use of detachable coils as the primary occlusion device.
- Assessment of implantation success and complication rates.
Main Results:
- Successful coil implantation in 181 out of 193 cases (93.8% success rate).
- Low rate of coil embolization reported.
- Effective occlusion across a range of ductus arteriosus sizes.
Conclusions:
- Detachable coil occlusion is a safe and effective treatment for PDA.
- The procedure demonstrates a favorable cost profile.
- This technique is a viable option for diverse PDA anatomies.