Uzun O, Hancock S, Parsons J M, Dickinson D F, Gibbs J L
Department of Paediatric Cardiology, Killingbeck Hospital, Leeds, United Kingdom.
Heart. 1996 Sep;76(3):269-73. doi: 10.1136/hrt.76.3.269.
To assess the effectiveness of modified, controlled release Gianturco coils for transcatheter occlusion of the arterial duct.
Prospective study, approved by local medical ethics committee.
Tertiary paediatric cardiac centre.
43 patients with left to right shunting through the arterial duct, two of whom had a residual leak after surgical ligation and three had residual shunting after previous Rashkind umbrella implantation.
Transcatheter delivery of one or more coils to the arterial duct.
Complete occlusion of the arterial duct, based on intention to treat and judged by Doppler echocardiography. Absence of flow disturbance in the branch pulmonary arteries and the descending aorta following the procedure. Assessment of cost of the disposable items used.
At a median follow up period of three months complete duct occlusion was achieved in 37 (86%) of the 43 patients. No flow disturbance in the branch pulmonary arteries or the descending aorta was detected in any patient. The median cost of disposable items used during the procedure was 342 pounds.
The Cook detachable coil is an effective and financially attractive alternative to the Rashkind umbrella for closure of the arterial duct.
评估改良型控释弹簧圈经导管封堵动脉导管未闭的有效性。
前瞻性研究，经当地医学伦理委员会批准。
三级儿科心脏中心。
43例经动脉导管存在左向右分流的患者，其中2例在外科结扎术后仍有残余分流，3例在先前植入Rashkind封堵伞后仍有残余分流。
经导管将一个或多个弹簧圈输送至动脉导管。
基于意向性分析，通过多普勒超声心动图判断动脉导管是否完全封堵。术后分支肺动脉和降主动脉有无血流紊乱。评估所用一次性物品的费用。
在中位随访期3个月时，43例患者中有37例（86%）实现了动脉导管的完全封堵。所有患者均未检测到分支肺动脉或降主动脉有血流紊乱。术中所用一次性物品的中位费用为342英镑。
Cook可脱卸弹簧圈是一种用于封堵动脉导管未闭的有效且经济上有吸引力的替代Rashkind封堵伞的方法。
