动脉导管未闭的经导管封堵术：两种器械的比较
Transcatheter occlusion of the patent ductus arteriosus: a comparison of two devices.
作者信息
El Mallah M K, Sands A J, Casey F A, Craig B G, Mulholland H C
机构信息
Department of Paediatric Cardiology, Royal Belfast Hospital for Sick Children, Northern Ireland.
出版信息
Ir J Med Sci. 2002 Jul-Sep;171(3):151-4. doi: 10.1007/BF03170504.
BACKGROUND
Transcatheter occlusion of the arterial duct is a safe and effective alternative to surgical closure. The Rashkind umbrella occluder and the Cook coil are two established devices, although the former is no longer manufactured.
AIMS
To assess any difference in outcomes between the use of the Cook detachable coil and the Rashkind double umbrella in patent ductus arteriosus (PDA) occlusion.
METHODS
A retrospective study of 77 patients in whom PDA occlusion was attempted using the Cook detachable PDA coil from March 1996 to March 2000. A comparison was carried out with patients in whom occlusion was attempted using the Rashkind double umbrella between 1989 and 1996.
RESULTS
The rate of immediate complete occlusion was 24% compared with 29.9% for the Rashkind device. The figure for complete occlusion after 24 hours with the PDA coil was 63% compared with 61.5% in the Rashkind group (p > 0.1). The overall closure rate in the coil group was 72% versus 74.6% for umbrellas.
CONCLUSION
The outcome in terms of complete duct closure using the Cook coil is comparable with figures obtained using the Rashkind umbrella. Both devices have a good safety profile in the short and medium-terms.
背景
动脉导管的经导管封堵术是一种安全有效的手术闭合替代方法。Rashkind封堵伞和Cook弹簧圈是两种已确立的器械，尽管前者已不再生产。
目的
评估在动脉导管未闭（PDA）封堵中使用Cook可拆弹簧圈和Rashkind双伞封堵器的结果差异。
方法
对1996年3月至2000年3月期间77例尝试使用Cook可拆PDA弹簧圈进行PDA封堵的患者进行回顾性研究。与1989年至1996年期间尝试使用Rashkind双伞封堵器进行封堵的患者进行比较。
结果
即刻完全封堵率为24%，而Rashkind封堵器为29.9%。PDA弹簧圈24小时后的完全封堵率为63%，Rashkind组为61.5%（p>0.1）。弹簧圈组的总体闭合率为72%，封堵伞组为74.6%。
结论
使用Cook弹簧圈实现完全导管闭合的结果与使用Rashkind封堵伞获得的数据相当。两种器械在短期和中期均具有良好的安全性。
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