Rohmer J, Hess J, Talsma M D
Academisch Ziekenhuis, afd. Kindergeneeskunde, Leiden.
Ned Tijdschr Geneeskd. 1990 Dec 1;134(48):2347-51.
Experience gained with non-surgical catheter occlusion of patent ductus arteriosus in 50 patients (1-65 years) is described. Embolisation of the Rashkind device into the right pulmonary artery occurred in 1 patient. In another patient the device was removed because the prongs of the proximal umbrella could not be visualized. In 4 patients a considerable residual shunt was successfully treated with implantation of a second device. In 1 of these 4 patients this resulted in disappearance of considerable haemolysis as well. Five patients, however, still have a--haemodynamically insignificant--residual shunt. In 43 patients catheter occlusion of the ductus arteriosus was 100% successful. The advantages and disadvantages of this method are briefly compared with those of surgical treatment.
描述了50例（年龄1至65岁）动脉导管未闭非手术导管封堵的经验。1例患者Rashkind装置栓塞至右肺动脉。另1例患者因近端伞的叉臂无法显影而取出装置。4例患者存在大量残余分流，成功植入第二个装置进行治疗。这4例患者中的1例，大量溶血也随之消失。然而，5例患者仍有血流动力学无意义的残余分流。43例患者动脉导管封堵成功率为100%。简要比较了该方法与手术治疗的优缺点。
