Bussmann W D, Sievert H, Kaltenbach M
Dtsch Med Wochenschr. 1984 Aug 31;109(35):1322-6. doi: 10.1055/s-2008-1069371.
In six patients aged between 17 and 53 years with persistent ductus arteriosus a non-operative occlusion of the ductus developed by Porstmann was used. The procedure comprises the percutaneous insertion of an Ivalon plug via the femoral artery in local anaesthesia and lodging in the patent ductus. Placement is enabled by pre-placing of an arterio-ductus-venous wire catheter. In all six consecutively treated patients the procedure was successful. Follow-up assessment after three months confirmed positioning of the plug in the ductus. In one female patient with cardiac insufficiency the complaints had completely disappeared and cardiac size had greatly diminished. Thus a comparatively trouble-free catheter technique for occlusion of the ductus is available which may replace surgery.
在6例年龄在17至53岁之间的持续性动脉导管未闭患者中，采用了波斯曼（Porstmann）非手术封堵动脉导管的方法。该操作包括在局部麻醉下经股动脉经皮插入伊瓦龙（Ivalon）封堵器并置入未闭的动脉导管中。通过预先放置动静脉导管导丝来实现放置。在连续治疗的所有6例患者中，该操作均成功。三个月后的随访评估证实封堵器已定位在动脉导管中。在一名患有心脏功能不全的女性患者中，症状已完全消失，心脏大小也显著减小。因此，有一种相对简便的导管技术可用于封堵动脉导管，它可能会取代手术治疗。
