Long-Term Outcome of Coil Occlusion in Patients With Patent Ductus Arteriosus
Background: Coil occlusion has been widely indicated for the closure of patent ductus arteriosus (PDA). Although many reports have shown the efficacy and safety of coil occlusion, the long-term outcome in patients remains controversial. Here, we analyzed the long-term outcome of coil occlusion in pa...
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| Veröffentlicht in: | Circulation Journal 2011, Vol.75(2), pp.407-412 |
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| creator | Takata, Hidemi Higaki, Takashi Sugiyama, Hisashi Kitano, Masataka Yamamoto, Eiichi Nakano, Takeshi Nagashima, Mitsugi Shikata, Fumiaki Tomita, Hideshi Yazaki, Satoshi Shiraishi, Isao Ishii, Eiichi |
| description | Background: Coil occlusion has been widely indicated for the closure of patent ductus arteriosus (PDA). Although many reports have shown the efficacy and safety of coil occlusion, the long-term outcome in patients remains controversial. Here, we analyzed the long-term outcome of coil occlusion in patients with PDA in Japan. Methods and Results: We collected the longitudinal data of patients who underwent coil occlusion between 1995 and 2009. A total of 310 coil occlusions were performed in 298 patients with PDA. The median minimum duct diameter was 1.4mm. Successful coil occlusion was achieved in 286 patients (96.0%), and total adverse events were seen in only 28 cases (9.0%). The median follow-up period was 50 months. The occlusion rates at 1 month, 6 months, 1 year, 2 years and 5 years were 90.1%, 94.4%, 97.4%, 97.8% and 97.8%, respectively. Patients with a large PDA (≥4mm) showed a higher rate of residual leakage than those with a small ( |
| doi_str_mv | 10.1253/circj.CJ-10-0453 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_848317536</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>848317536</sourcerecordid><originalsourceid>FETCH-LOGICAL-c493t-6fddc085f14d7e361a3e428b5a49a9d9083a3bb23088c12fde4712cb1683ce5b3</originalsourceid><addsrcrecordid>eNpFkDtPwzAUhS0Eorx2JuSNKeBXEmeswltFZShitBznhrpK4mI7A_-epi2w3HvP1XfOcBC6pOSGspTfGuvN6qZ8SShJiEj5ATqhXOSJkIwcbu8sKaTgE3QawooQVpC0OEYTRmnORZGdoNeZ6z-TBfgOz4doXAfYNbh0tsVzY9ohWNdj2-M3HS30MeAPG5ej2gh8N5g4BDz1Ebx1YQjn6KjRbYCL_T5D7w_3i_Ipmc0fn8vpLDGi4DHJmro2RKYNFXUOPKOag2CySrUodFEXRHLNq4pxIqWhrKlB5JSZimaSG0grfoaud7lr774GCFF1NhhoW92DG4KSQnKapzzbkGRHGu9C8NCotbed9t-KEjV2qLYdqvJlfIwdbixX-_Ch6qD-M_yWtgEedsAqRP0Jf4D20ZoW9ol5qtg4_pP_gaX2Cnr-A37khxE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>848317536</pqid></control><display><type>article</type><title>Long-Term Outcome of Coil Occlusion in Patients With Patent Ductus Arteriosus</title><source>MEDLINE</source><source>J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Takata, Hidemi ; Higaki, Takashi ; Sugiyama, Hisashi ; Kitano, Masataka ; Yamamoto, Eiichi ; Nakano, Takeshi ; Nagashima, Mitsugi ; Shikata, Fumiaki ; Tomita, Hideshi ; Yazaki, Satoshi ; Shiraishi, Isao ; Ishii, Eiichi</creator><creatorcontrib>Takata, Hidemi ; Higaki, Takashi ; Sugiyama, Hisashi ; Kitano, Masataka ; Yamamoto, Eiichi ; Nakano, Takeshi ; Nagashima, Mitsugi ; Shikata, Fumiaki ; Tomita, Hideshi ; Yazaki, Satoshi ; Shiraishi, Isao ; Ishii, Eiichi</creatorcontrib><description>Background: Coil occlusion has been widely indicated for the closure of patent ductus arteriosus (PDA). Although many reports have shown the efficacy and safety of coil occlusion, the long-term outcome in patients remains controversial. Here, we analyzed the long-term outcome of coil occlusion in patients with PDA in Japan. Methods and Results: We collected the longitudinal data of patients who underwent coil occlusion between 1995 and 2009. A total of 310 coil occlusions were performed in 298 patients with PDA. The median minimum duct diameter was 1.4mm. Successful coil occlusion was achieved in 286 patients (96.0%), and total adverse events were seen in only 28 cases (9.0%). The median follow-up period was 50 months. The occlusion rates at 1 month, 6 months, 1 year, 2 years and 5 years were 90.1%, 94.4%, 97.4%, 97.8% and 97.8%, respectively. Patients with a large PDA (≥4mm) showed a higher rate of residual leakage than those with a small (<2mm) or moderate (2-4mm) PDA (P=0.004). Patients who underwent this procedure in the early study period also showed a higher rate of residual leakage than those in the late study period. Conclusions: Coil occlusion is an effective procedure for patients with PDA. Our data indicate that the long-term outcome is promising without any adverse events. (Circ J 2011; 75: 407-412)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-10-0453</identifier><identifier>PMID: 21173496</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Cardiac Catheterization ; Catheter intervention ; Child ; Child, Preschool ; Coil occlusion ; Ductus Arteriosus, Patent - diagnostic imaging ; Ductus Arteriosus, Patent - therapy ; Embolization, Therapeutic - adverse effects ; Embolization, Therapeutic - instrumentation ; Female ; Follow-Up Studies ; Humans ; Infant ; Japan ; Kaplan-Meier Estimate ; Long-term outcome ; Male ; Patent ductus arteriosus ; Retrospective Studies ; Treatment Outcome ; Ultrasonography</subject><ispartof>Circulation Journal, 2011, Vol.75(2), pp.407-412</ispartof><rights>2011 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c493t-6fddc085f14d7e361a3e428b5a49a9d9083a3bb23088c12fde4712cb1683ce5b3</citedby><cites>FETCH-LOGICAL-c493t-6fddc085f14d7e361a3e428b5a49a9d9083a3bb23088c12fde4712cb1683ce5b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21173496$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takata, Hidemi</creatorcontrib><creatorcontrib>Higaki, Takashi</creatorcontrib><creatorcontrib>Sugiyama, Hisashi</creatorcontrib><creatorcontrib>Kitano, Masataka</creatorcontrib><creatorcontrib>Yamamoto, Eiichi</creatorcontrib><creatorcontrib>Nakano, Takeshi</creatorcontrib><creatorcontrib>Nagashima, Mitsugi</creatorcontrib><creatorcontrib>Shikata, Fumiaki</creatorcontrib><creatorcontrib>Tomita, Hideshi</creatorcontrib><creatorcontrib>Yazaki, Satoshi</creatorcontrib><creatorcontrib>Shiraishi, Isao</creatorcontrib><creatorcontrib>Ishii, Eiichi</creatorcontrib><title>Long-Term Outcome of Coil Occlusion in Patients With Patent Ductus Arteriosus</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background: Coil occlusion has been widely indicated for the closure of patent ductus arteriosus (PDA). Although many reports have shown the efficacy and safety of coil occlusion, the long-term outcome in patients remains controversial. Here, we analyzed the long-term outcome of coil occlusion in patients with PDA in Japan. Methods and Results: We collected the longitudinal data of patients who underwent coil occlusion between 1995 and 2009. A total of 310 coil occlusions were performed in 298 patients with PDA. The median minimum duct diameter was 1.4mm. Successful coil occlusion was achieved in 286 patients (96.0%), and total adverse events were seen in only 28 cases (9.0%). The median follow-up period was 50 months. The occlusion rates at 1 month, 6 months, 1 year, 2 years and 5 years were 90.1%, 94.4%, 97.4%, 97.8% and 97.8%, respectively. Patients with a large PDA (≥4mm) showed a higher rate of residual leakage than those with a small (<2mm) or moderate (2-4mm) PDA (P=0.004). Patients who underwent this procedure in the early study period also showed a higher rate of residual leakage than those in the late study period. Conclusions: Coil occlusion is an effective procedure for patients with PDA. Our data indicate that the long-term outcome is promising without any adverse events. (Circ J 2011; 75: 407-412)</description><subject>Cardiac Catheterization</subject><subject>Catheter intervention</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Coil occlusion</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>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Japan</subject><subject>Kaplan-Meier Estimate</subject><subject>Long-term outcome</subject><subject>Male</subject><subject>Patent ductus arteriosus</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Ultrasonography</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkDtPwzAUhS0Eorx2JuSNKeBXEmeswltFZShitBznhrpK4mI7A_-epi2w3HvP1XfOcBC6pOSGspTfGuvN6qZ8SShJiEj5ATqhXOSJkIwcbu8sKaTgE3QawooQVpC0OEYTRmnORZGdoNeZ6z-TBfgOz4doXAfYNbh0tsVzY9ohWNdj2-M3HS30MeAPG5ej2gh8N5g4BDz1Ebx1YQjn6KjRbYCL_T5D7w_3i_Ipmc0fn8vpLDGi4DHJmro2RKYNFXUOPKOag2CySrUodFEXRHLNq4pxIqWhrKlB5JSZimaSG0grfoaud7lr774GCFF1NhhoW92DG4KSQnKapzzbkGRHGu9C8NCotbed9t-KEjV2qLYdqvJlfIwdbixX-_Ch6qD-M_yWtgEedsAqRP0Jf4D20ZoW9ol5qtg4_pP_gaX2Cnr-A37khxE</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Takata, Hidemi</creator><creator>Higaki, Takashi</creator><creator>Sugiyama, Hisashi</creator><creator>Kitano, Masataka</creator><creator>Yamamoto, Eiichi</creator><creator>Nakano, Takeshi</creator><creator>Nagashima, Mitsugi</creator><creator>Shikata, Fumiaki</creator><creator>Tomita, Hideshi</creator><creator>Yazaki, Satoshi</creator><creator>Shiraishi, Isao</creator><creator>Ishii, Eiichi</creator><general>The Japanese Circulation Society</general><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>2011</creationdate><title>Long-Term Outcome of Coil Occlusion in Patients With Patent Ductus Arteriosus</title><author>Takata, Hidemi ; Higaki, Takashi ; Sugiyama, Hisashi ; Kitano, Masataka ; Yamamoto, Eiichi ; Nakano, Takeshi ; Nagashima, Mitsugi ; Shikata, Fumiaki ; Tomita, Hideshi ; Yazaki, Satoshi ; Shiraishi, Isao ; Ishii, Eiichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c493t-6fddc085f14d7e361a3e428b5a49a9d9083a3bb23088c12fde4712cb1683ce5b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Cardiac Catheterization</topic><topic>Catheter intervention</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Coil occlusion</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>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Japan</topic><topic>Kaplan-Meier Estimate</topic><topic>Long-term outcome</topic><topic>Male</topic><topic>Patent ductus arteriosus</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takata, Hidemi</creatorcontrib><creatorcontrib>Higaki, Takashi</creatorcontrib><creatorcontrib>Sugiyama, Hisashi</creatorcontrib><creatorcontrib>Kitano, Masataka</creatorcontrib><creatorcontrib>Yamamoto, Eiichi</creatorcontrib><creatorcontrib>Nakano, Takeshi</creatorcontrib><creatorcontrib>Nagashima, Mitsugi</creatorcontrib><creatorcontrib>Shikata, Fumiaki</creatorcontrib><creatorcontrib>Tomita, Hideshi</creatorcontrib><creatorcontrib>Yazaki, Satoshi</creatorcontrib><creatorcontrib>Shiraishi, Isao</creatorcontrib><creatorcontrib>Ishii, Eiichi</creatorcontrib><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>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takata, Hidemi</au><au>Higaki, Takashi</au><au>Sugiyama, Hisashi</au><au>Kitano, Masataka</au><au>Yamamoto, Eiichi</au><au>Nakano, Takeshi</au><au>Nagashima, Mitsugi</au><au>Shikata, Fumiaki</au><au>Tomita, Hideshi</au><au>Yazaki, Satoshi</au><au>Shiraishi, Isao</au><au>Ishii, Eiichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Outcome of Coil Occlusion in Patients With Patent Ductus Arteriosus</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2011</date><risdate>2011</risdate><volume>75</volume><issue>2</issue><spage>407</spage><epage>412</epage><pages>407-412</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background: Coil occlusion has been widely indicated for the closure of patent ductus arteriosus (PDA). Although many reports have shown the efficacy and safety of coil occlusion, the long-term outcome in patients remains controversial. Here, we analyzed the long-term outcome of coil occlusion in patients with PDA in Japan. Methods and Results: We collected the longitudinal data of patients who underwent coil occlusion between 1995 and 2009. A total of 310 coil occlusions were performed in 298 patients with PDA. The median minimum duct diameter was 1.4mm. Successful coil occlusion was achieved in 286 patients (96.0%), and total adverse events were seen in only 28 cases (9.0%). The median follow-up period was 50 months. The occlusion rates at 1 month, 6 months, 1 year, 2 years and 5 years were 90.1%, 94.4%, 97.4%, 97.8% and 97.8%, respectively. Patients with a large PDA (≥4mm) showed a higher rate of residual leakage than those with a small (<2mm) or moderate (2-4mm) PDA (P=0.004). Patients who underwent this procedure in the early study period also showed a higher rate of residual leakage than those in the late study period. Conclusions: Coil occlusion is an effective procedure for patients with PDA. Our data indicate that the long-term outcome is promising without any adverse events. (Circ J 2011; 75: 407-412)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>21173496</pmid><doi>10.1253/circj.CJ-10-0453</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Cardiac Catheterization Catheter intervention Child Child, Preschool Coil occlusion Ductus Arteriosus, Patent - diagnostic imaging Ductus Arteriosus, Patent - therapy Embolization, Therapeutic - adverse effects Embolization, Therapeutic - instrumentation Female Follow-Up Studies Humans Infant Japan Kaplan-Meier Estimate Long-term outcome Male Patent ductus arteriosus Retrospective Studies Treatment Outcome Ultrasonography |
| title | Long-Term Outcome of Coil Occlusion in Patients With Patent Ductus Arteriosus |
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