Turk Kardiyol Dern Ars. Ahead of Print: TKDA-35405 | DOI: 10.5543/tkda.2019.35405
Transcatheter Coil Occlusion of Patent Ductus Arteriosus and Follow-Up Results
sezen ugan atik
, irfan levent SALTIK
Istanbul University-Cerrahpasa Medical Faculity Pediatric Cardiology Department
OBJECTIVES Although a large number of articles about transcatheter coil occlusion have been published, few studies have been conducted on the long-term outcomes of patent ductus arteriosus closure with coils. In this study, follow-up of our patients who were treated with coils was presented.
METHODS Between May 1996 and May 2018, 243 patients underwent transcatheter patent ductus arteriosus closure with coils. Patients were divided into two groups, before and after the beginning of the use of the ductal occluders. Until the end of 2005 all ductuses were closed with coils. Since the use of ductal occluders in our center in 2006, the coils were mostly used to close small, elongated and some complex ducts.
RESULTS Median age was 4.33 years, median weight was 15 kg, median duct diameter was 2 mm. 98 (40%) were male and 145 were female (60%). The angiographic features of ductus were type B in 126 patients, type B in 15, type C in 6, type D in 9 type E and 13 patients with other types. At 238 of the patients, the patent ductus arteriosus was successfully closed with coils. In five (2.2%) cases the procedure was unsuccessful. Patients were followed for an average of 4.1±4.1 years (1 day-19 years) by echocardiography. Residual shunt was observed in 42 patients. Spontaneous occlusion was seen in 29 of 42 patients.
CONCLUSION In our study, it was determined that closing the PDA with coil was a safe and effective method.
Patent Ductus Arteriosus, coil, Transcatheter Occlusion, children
How to cite this article
Corresponding Author: sezen ugan atik, Türkiye