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Article: Transcatheter closure of persistent arterial ducts with different types of coils
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TitleTranscatheter closure of persistent arterial ducts with different types of coils
 
AuthorsCheung, YF1
Leung, MP1
Chau, KT1
 
Issue Date2001
 
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/ahj
 
CitationAmerican Heart Journal, 2001, v. 141 n. 1, p. 87-91 [How to Cite?]
DOI: http://dx.doi.org/10.1067/mhj.2001.111263
 
AbstractBackground: Different types of coils have been designed for transcatheter closure of persistent arterial ducts. We compared the efficacy and safety of three types of coils: Gianturco coils (Cook), Cook detachable coils (Cook), and Duct Occlud devices (pfm). Methods: Sixty-three patients underwent coil occlusion of arterial ducts between April 1995 and July 2000. The mean age and weight were 4.8 ± 3.4 years and 16.5 ± 7.6 kg, respectively. The results and complications of ductal occlusion among the three types of coils were compared. Kaplan-Meier analysis was used to assess reduction in the prevalence of residual shunt with time, and multiple regression analysis was performed to identify predictors of complete occlusion. Results: Coil occlusion of persistent arterial ducts that measured 2.2 ± 0.8 mm was feasible in 90% (57/63) of patients. Gianturco coils were used in 29, Duct Occlud devices in 16, and Cook detachable coils in 12 patients. The prevalence of residuol shunt at 24 hours, 6 months, 12 months, and 24 months was 42%, 20%, 18%, and 14%, respectively. The reduction in prevalence of residual shunt with time tended to be greater when Gianturco coils were used (P = .067). Logistic regression identified the use of Gianturco coils to be a significant predictor of complete ductal occlusion on follow-up (P = .04). Pull-through of coils occurred in 4.8% (3/63) and coil embolization in 6.3% (4/63). There was no association between the type of coil and the risk of embolization (P = 1.00). Conclusions: Transcatheter occlusion of small persistent arterial ducts with coils is safe and effective. There is no advantage of detachable coils (Cook detachable coils and Duct Occlud devices) over nondetachable Gianturco coils in reducing the risk of embolization. Our findings are in favor of the inexpensive, but more effective, Gianturco coils for occluding small arterial ducts of 3 mm or less.
 
ISSN0002-8703
2012 Impact Factor: 4.497
2012 SCImago Journal Rankings: 2.999
 
DOIhttp://dx.doi.org/10.1067/mhj.2001.111263
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorCheung, YF
 
dc.contributor.authorLeung, MP
 
dc.contributor.authorChau, KT
 
dc.date.accessioned2012-10-30T06:07:25Z
 
dc.date.available2012-10-30T06:07:25Z
 
dc.date.issued2001
 
dc.description.abstractBackground: Different types of coils have been designed for transcatheter closure of persistent arterial ducts. We compared the efficacy and safety of three types of coils: Gianturco coils (Cook), Cook detachable coils (Cook), and Duct Occlud devices (pfm). Methods: Sixty-three patients underwent coil occlusion of arterial ducts between April 1995 and July 2000. The mean age and weight were 4.8 ± 3.4 years and 16.5 ± 7.6 kg, respectively. The results and complications of ductal occlusion among the three types of coils were compared. Kaplan-Meier analysis was used to assess reduction in the prevalence of residual shunt with time, and multiple regression analysis was performed to identify predictors of complete occlusion. Results: Coil occlusion of persistent arterial ducts that measured 2.2 ± 0.8 mm was feasible in 90% (57/63) of patients. Gianturco coils were used in 29, Duct Occlud devices in 16, and Cook detachable coils in 12 patients. The prevalence of residuol shunt at 24 hours, 6 months, 12 months, and 24 months was 42%, 20%, 18%, and 14%, respectively. The reduction in prevalence of residual shunt with time tended to be greater when Gianturco coils were used (P = .067). Logistic regression identified the use of Gianturco coils to be a significant predictor of complete ductal occlusion on follow-up (P = .04). Pull-through of coils occurred in 4.8% (3/63) and coil embolization in 6.3% (4/63). There was no association between the type of coil and the risk of embolization (P = 1.00). Conclusions: Transcatheter occlusion of small persistent arterial ducts with coils is safe and effective. There is no advantage of detachable coils (Cook detachable coils and Duct Occlud devices) over nondetachable Gianturco coils in reducing the risk of embolization. Our findings are in favor of the inexpensive, but more effective, Gianturco coils for occluding small arterial ducts of 3 mm or less.
 
dc.description.natureLink_to_subscribed_fulltext
 
dc.identifier.citationAmerican Heart Journal, 2001, v. 141 n. 1, p. 87-91 [How to Cite?]
DOI: http://dx.doi.org/10.1067/mhj.2001.111263
 
dc.identifier.doihttp://dx.doi.org/10.1067/mhj.2001.111263
 
dc.identifier.epage91
 
dc.identifier.issn0002-8703
2012 Impact Factor: 4.497
2012 SCImago Journal Rankings: 2.999
 
dc.identifier.issue1
 
dc.identifier.pmid11136491
 
dc.identifier.scopuseid_2-s2.0-0035173218
 
dc.identifier.spage87
 
dc.identifier.urihttp://hdl.handle.net/10722/170311
 
dc.identifier.volume141
 
dc.languageeng
 
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/ahj
 
dc.publisher.placeUnited States
 
dc.relation.ispartofAmerican Heart Journal
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshCatheterization - Instrumentation
 
dc.subject.meshChild, Preschool
 
dc.subject.meshDuctus Arteriosus, Patent - Therapy
 
dc.subject.meshFemale
 
dc.subject.meshHumans
 
dc.subject.meshMale
 
dc.subject.meshRegression Analysis
 
dc.titleTranscatheter closure of persistent arterial ducts with different types of coils
 
dc.typeArticle
 
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<description.abstract>Background: Different types of coils have been designed for transcatheter closure of persistent arterial ducts. We compared the efficacy and safety of three types of coils: Gianturco coils (Cook), Cook detachable coils (Cook), and Duct Occlud devices (pfm). Methods: Sixty-three patients underwent coil occlusion of arterial ducts between April 1995 and July 2000. The mean age and weight were 4.8 &#177; 3.4 years and 16.5 &#177; 7.6 kg, respectively. The results and complications of ductal occlusion among the three types of coils were compared. Kaplan-Meier analysis was used to assess reduction in the prevalence of residual shunt with time, and multiple regression analysis was performed to identify predictors of complete occlusion. Results: Coil occlusion of persistent arterial ducts that measured 2.2 &#177; 0.8 mm was feasible in 90% (57/63) of patients. Gianturco coils were used in 29, Duct Occlud devices in 16, and Cook detachable coils in 12 patients. The prevalence of residuol shunt at 24 hours, 6 months, 12 months, and 24 months was 42%, 20%, 18%, and 14%, respectively. The reduction in prevalence of residual shunt with time tended to be greater when Gianturco coils were used (P = .067). Logistic regression identified the use of Gianturco coils to be a significant predictor of complete ductal occlusion on follow-up (P = .04). Pull-through of coils occurred in 4.8% (3/63) and coil embolization in 6.3% (4/63). There was no association between the type of coil and the risk of embolization (P = 1.00). Conclusions: Transcatheter occlusion of small persistent arterial ducts with coils is safe and effective. There is no advantage of detachable coils (Cook detachable coils and Duct Occlud devices) over nondetachable Gianturco coils in reducing the risk of embolization. Our findings are in favor of the inexpensive, but more effective, Gianturco coils for occluding small arterial ducts of 3 mm or less.</description.abstract>
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Author Affiliations
  1. The University of Hong Kong