Transcatheter occlusion of the patent ductus arteriosus with a single device technique: comparison between the Cook detachable coil and the Rashkind umbrella device
Transcatheter coil occlusion of the patent ductus arteriosus (PDA) has become the interventional treatment option of choice. Immediate occlusion of any residual shunting results in excellent closure rates, but frequently requires multiple coil deployment. Aims: To assess the efficacy and limitations...
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| Veröffentlicht in: | International journal of cardiology 2001-06, Vol.79 (1), p.71-76 |
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| creator | Jaeggi, Edgar T Fasnacht, Margrit Arbenz, Urs Beghetti, Maurice Bauersfeld, Urs Friedli, Beat |
| description | Transcatheter coil occlusion of the patent ductus arteriosus (PDA) has become the interventional treatment option of choice. Immediate occlusion of any residual shunting results in excellent closure rates, but frequently requires multiple coil deployment.
Aims: To assess the efficacy and limitations of single Cook detachable coil PDA closure compared to a preceding series of Rashkind umbrella procedures.
Methods and results: Between 1990 and 1999, transcatheter occlusion of a small ( |
| doi_str_mv | 10.1016/S0167-5273(01)00406-5 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70923683</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0167527301004065</els_id><sourcerecordid>70923683</sourcerecordid><originalsourceid>FETCH-LOGICAL-c390t-72629a1170925a1f1bb97dbcca93a0ffdf837fd5c7f92936ebac9db248b067e63</originalsourceid><addsrcrecordid>eNqFkc1u1DAUhS0EokPhEUBeIASLgB0nccwGoRF_UiUkKGvLvrkmppl4ajuteB8eFM9MBOzY-Pc7x9f3EPKYs5ec8e7V1zLIqq2leM74C8Ya1lXtHbLhvWwqLtvmLtn8Qc7Ig5R-sEIp1d8nZ5wLpUQjNuTXZTRzApNHzBhpAJiW5MNMg6PljO5NxjnTYYG8JGpigXxIZXnr80gNTX7-PiEd8MYD0owwzv56wdcUwm5vok_FymK-RZyPftsQrgqdDYzGFiEEP1EzD8fLLyaNV75slp2NOE1m9X1I7jkzJXy0zufk2_t3l9uP1cXnD5-2by8qEIrlStZdrQznkqm6Ndxxa5UcLIBRwjDnBtcL6YYWpFO1Eh1aA2qwddNb1knsxDl5dvLdx1A-kbLe-QSHQmYMS9IHY9H1ooDtCYQYUoro9D76nYk_NWf6EI8-xqMPvdeM62M8ui26J-sDi93h8Fe15lGApytgSiiTK-GAT_-4i57XrGBvThiWbtx4jDqBxxlw8BEh6yH4_1TyG7UssD4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70923683</pqid></control><display><type>article</type><title>Transcatheter occlusion of the patent ductus arteriosus with a single device technique: comparison between the Cook detachable coil and the Rashkind umbrella device</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Jaeggi, Edgar T ; Fasnacht, Margrit ; Arbenz, Urs ; Beghetti, Maurice ; Bauersfeld, Urs ; Friedli, Beat</creator><creatorcontrib>Jaeggi, Edgar T ; Fasnacht, Margrit ; Arbenz, Urs ; Beghetti, Maurice ; Bauersfeld, Urs ; Friedli, Beat</creatorcontrib><description>Transcatheter coil occlusion of the patent ductus arteriosus (PDA) has become the interventional treatment option of choice. Immediate occlusion of any residual shunting results in excellent closure rates, but frequently requires multiple coil deployment.
Aims: To assess the efficacy and limitations of single Cook detachable coil PDA closure compared to a preceding series of Rashkind umbrella procedures.
Methods and results: Between 1990 and 1999, transcatheter occlusion of a small (<2 mm;
n=45) or moderate-sized (2–4 mm;
n=47) PDA was successfully attempted in 90/92 consecutive patients (mean age 6±4.8 years) with a coil (39/41) or Rashkind device (51/51). Immediate angiographic closure rates for both devices were low, although better for small (54–68%) than moderate ducts (7–22%,
P<0.01). A 2-year echocardiographic closure rate of small ducts increased to 92% for the coil group versus 95% for the Rashkind group. By that time, moderate-sized ducts were only occluded in 64% with the coil and 54% with the Rashkind device. A visible residual shunt at post-implant angiography in moderate ducts was associated with a high incidence (59%) of long-term echocardiographic shunt patency and a need for repeat interventions for audible residual shunts (32%).
Conclusions: Single coil transcatheter occlusion is the treatment of choice for the small duct as most residual shunts will resolve spontaneously. However, long-term shunt persistence after single coil deployment in moderate sized ducts is as frequent as with the Rashkind device. A primary multiple coil approach is advocated if the postcoil aortogram shows residual ductal shunting and if there is persistence of a ductal murmur on auscultation.</description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/S0167-5273(01)00406-5</identifier><identifier>PMID: 11399343</identifier><identifier>CODEN: IJCDD5</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Biological and medical sciences ; Cardiac Catheterization - adverse effects ; Cardiac Catheterization - instrumentation ; Child ; Child, Preschool ; Coil ; Coronary Angiography ; Diseases of the cardiovascular system ; Ductus Arteriosus, Patent - diagnostic imaging ; Ductus Arteriosus, Patent - therapy ; Embolization, Therapeutic - adverse effects ; Embolization, Therapeutic - instrumentation ; Female ; Humans ; Male ; Medical sciences ; Patent ductus arteriosus ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Rashkind device ; Retrospective Studies ; Transcatheter occlusion ; Treatment Outcome ; Ultrasonography</subject><ispartof>International journal of cardiology, 2001-06, Vol.79 (1), p.71-76</ispartof><rights>2001 Elsevier Science Ireland Ltd</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-72629a1170925a1f1bb97dbcca93a0ffdf837fd5c7f92936ebac9db248b067e63</citedby><cites>FETCH-LOGICAL-c390t-72629a1170925a1f1bb97dbcca93a0ffdf837fd5c7f92936ebac9db248b067e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0167527301004065$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1038120$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11399343$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jaeggi, Edgar T</creatorcontrib><creatorcontrib>Fasnacht, Margrit</creatorcontrib><creatorcontrib>Arbenz, Urs</creatorcontrib><creatorcontrib>Beghetti, Maurice</creatorcontrib><creatorcontrib>Bauersfeld, Urs</creatorcontrib><creatorcontrib>Friedli, Beat</creatorcontrib><title>Transcatheter occlusion of the patent ductus arteriosus with a single device technique: comparison between the Cook detachable coil and the Rashkind umbrella device</title><title>International journal of cardiology</title><addtitle>Int J Cardiol</addtitle><description>Transcatheter coil occlusion of the patent ductus arteriosus (PDA) has become the interventional treatment option of choice. Immediate occlusion of any residual shunting results in excellent closure rates, but frequently requires multiple coil deployment.
Aims: To assess the efficacy and limitations of single Cook detachable coil PDA closure compared to a preceding series of Rashkind umbrella procedures.
Methods and results: Between 1990 and 1999, transcatheter occlusion of a small (<2 mm;
n=45) or moderate-sized (2–4 mm;
n=47) PDA was successfully attempted in 90/92 consecutive patients (mean age 6±4.8 years) with a coil (39/41) or Rashkind device (51/51). Immediate angiographic closure rates for both devices were low, although better for small (54–68%) than moderate ducts (7–22%,
P<0.01). A 2-year echocardiographic closure rate of small ducts increased to 92% for the coil group versus 95% for the Rashkind group. By that time, moderate-sized ducts were only occluded in 64% with the coil and 54% with the Rashkind device. A visible residual shunt at post-implant angiography in moderate ducts was associated with a high incidence (59%) of long-term echocardiographic shunt patency and a need for repeat interventions for audible residual shunts (32%).
Conclusions: Single coil transcatheter occlusion is the treatment of choice for the small duct as most residual shunts will resolve spontaneously. However, long-term shunt persistence after single coil deployment in moderate sized ducts is as frequent as with the Rashkind device. A primary multiple coil approach is advocated if the postcoil aortogram shows residual ductal shunting and if there is persistence of a ductal murmur on auscultation.</description><subject>Biological and medical sciences</subject><subject>Cardiac Catheterization - adverse effects</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Coil</subject><subject>Coronary Angiography</subject><subject>Diseases of the cardiovascular system</subject><subject>Ductus Arteriosus, Patent - diagnostic imaging</subject><subject>Ductus Arteriosus, Patent - therapy</subject><subject>Embolization, Therapeutic - adverse effects</subject><subject>Embolization, Therapeutic - instrumentation</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patent ductus arteriosus</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Rashkind device</subject><subject>Retrospective Studies</subject><subject>Transcatheter occlusion</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>0167-5273</issn><issn>1874-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc1u1DAUhS0EokPhEUBeIASLgB0nccwGoRF_UiUkKGvLvrkmppl4ajuteB8eFM9MBOzY-Pc7x9f3EPKYs5ec8e7V1zLIqq2leM74C8Ya1lXtHbLhvWwqLtvmLtn8Qc7Ig5R-sEIp1d8nZ5wLpUQjNuTXZTRzApNHzBhpAJiW5MNMg6PljO5NxjnTYYG8JGpigXxIZXnr80gNTX7-PiEd8MYD0owwzv56wdcUwm5vok_FymK-RZyPftsQrgqdDYzGFiEEP1EzD8fLLyaNV75slp2NOE1m9X1I7jkzJXy0zufk2_t3l9uP1cXnD5-2by8qEIrlStZdrQznkqm6Ndxxa5UcLIBRwjDnBtcL6YYWpFO1Eh1aA2qwddNb1knsxDl5dvLdx1A-kbLe-QSHQmYMS9IHY9H1ooDtCYQYUoro9D76nYk_NWf6EI8-xqMPvdeM62M8ui26J-sDi93h8Fe15lGApytgSiiTK-GAT_-4i57XrGBvThiWbtx4jDqBxxlw8BEh6yH4_1TyG7UssD4</recordid><startdate>20010601</startdate><enddate>20010601</enddate><creator>Jaeggi, Edgar T</creator><creator>Fasnacht, Margrit</creator><creator>Arbenz, Urs</creator><creator>Beghetti, Maurice</creator><creator>Bauersfeld, Urs</creator><creator>Friedli, Beat</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010601</creationdate><title>Transcatheter occlusion of the patent ductus arteriosus with a single device technique: comparison between the Cook detachable coil and the Rashkind umbrella device</title><author>Jaeggi, Edgar T ; Fasnacht, Margrit ; Arbenz, Urs ; Beghetti, Maurice ; Bauersfeld, Urs ; Friedli, Beat</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-72629a1170925a1f1bb97dbcca93a0ffdf837fd5c7f92936ebac9db248b067e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Biological and medical sciences</topic><topic>Cardiac Catheterization - adverse effects</topic><topic>Cardiac Catheterization - instrumentation</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Coil</topic><topic>Coronary Angiography</topic><topic>Diseases of the cardiovascular system</topic><topic>Ductus Arteriosus, Patent - diagnostic imaging</topic><topic>Ductus Arteriosus, Patent - therapy</topic><topic>Embolization, Therapeutic - adverse effects</topic><topic>Embolization, Therapeutic - instrumentation</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patent ductus arteriosus</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Rashkind device</topic><topic>Retrospective Studies</topic><topic>Transcatheter occlusion</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jaeggi, Edgar T</creatorcontrib><creatorcontrib>Fasnacht, Margrit</creatorcontrib><creatorcontrib>Arbenz, Urs</creatorcontrib><creatorcontrib>Beghetti, Maurice</creatorcontrib><creatorcontrib>Bauersfeld, Urs</creatorcontrib><creatorcontrib>Friedli, Beat</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jaeggi, Edgar T</au><au>Fasnacht, Margrit</au><au>Arbenz, Urs</au><au>Beghetti, Maurice</au><au>Bauersfeld, Urs</au><au>Friedli, Beat</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter occlusion of the patent ductus arteriosus with a single device technique: comparison between the Cook detachable coil and the Rashkind umbrella device</atitle><jtitle>International journal of cardiology</jtitle><addtitle>Int J Cardiol</addtitle><date>2001-06-01</date><risdate>2001</risdate><volume>79</volume><issue>1</issue><spage>71</spage><epage>76</epage><pages>71-76</pages><issn>0167-5273</issn><eissn>1874-1754</eissn><coden>IJCDD5</coden><abstract>Transcatheter coil occlusion of the patent ductus arteriosus (PDA) has become the interventional treatment option of choice. Immediate occlusion of any residual shunting results in excellent closure rates, but frequently requires multiple coil deployment.
Aims: To assess the efficacy and limitations of single Cook detachable coil PDA closure compared to a preceding series of Rashkind umbrella procedures.
Methods and results: Between 1990 and 1999, transcatheter occlusion of a small (<2 mm;
n=45) or moderate-sized (2–4 mm;
n=47) PDA was successfully attempted in 90/92 consecutive patients (mean age 6±4.8 years) with a coil (39/41) or Rashkind device (51/51). Immediate angiographic closure rates for both devices were low, although better for small (54–68%) than moderate ducts (7–22%,
P<0.01). A 2-year echocardiographic closure rate of small ducts increased to 92% for the coil group versus 95% for the Rashkind group. By that time, moderate-sized ducts were only occluded in 64% with the coil and 54% with the Rashkind device. A visible residual shunt at post-implant angiography in moderate ducts was associated with a high incidence (59%) of long-term echocardiographic shunt patency and a need for repeat interventions for audible residual shunts (32%).
Conclusions: Single coil transcatheter occlusion is the treatment of choice for the small duct as most residual shunts will resolve spontaneously. However, long-term shunt persistence after single coil deployment in moderate sized ducts is as frequent as with the Rashkind device. A primary multiple coil approach is advocated if the postcoil aortogram shows residual ductal shunting and if there is persistence of a ductal murmur on auscultation.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>11399343</pmid><doi>10.1016/S0167-5273(01)00406-5</doi><tpages>6</tpages></addata></record> |
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| subjects | Biological and medical sciences Cardiac Catheterization - adverse effects Cardiac Catheterization - instrumentation Child Child, Preschool Coil Coronary Angiography Diseases of the cardiovascular system Ductus Arteriosus, Patent - diagnostic imaging Ductus Arteriosus, Patent - therapy Embolization, Therapeutic - adverse effects Embolization, Therapeutic - instrumentation Female Humans Male Medical sciences Patent ductus arteriosus Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Rashkind device Retrospective Studies Transcatheter occlusion Treatment Outcome Ultrasonography |
| title | Transcatheter occlusion of the patent ductus arteriosus with a single device technique: comparison between the Cook detachable coil and the Rashkind umbrella device |
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