Akademik Veri Yönetim Sistemi
PICS AICS 2015 LAS vegas, Nevada, Amerika Birleşik Devletleri, 18 - 21 Eylül 2015, cilt.1, ss.94, (Özet Bildiri)
LONG-TERM OUTCOME OF COIL OCCLUSION IN
PATIENTS WITH PATENT DUCTUS ARTERIOSUS
Irfan Levent Saltik1
, Sezen Ugan Atik1
, Reyhan Dedeoglu1
,
Kazim Oztarhan2
, Selman Gökalp3
1
Istanbul University Cerrahpasa Medical Faculty Pediatric
Cardiology Department, ISTANBUL, Turkey
2
Istanbul Kanuni Sultan Süleyman Investigation and Training
Hospital, ISTANBUL, Turkey
3
Bezmi Alem University Medical Faculty Pediatric Cardiology
Department, ISTANBUL, Turkey
Objective: We aimed to evaluate the long term results of patients
who underwent transcatheter closure of patent ductus arteriosus
(PDA) using Cook detachable coils.
Methods: The records of 234 patients who underwent transcatheter
closure of PDA using the detachable coils between 1996 and 2015
were reviewed. All patients underwent coil only occlusion until 2005.
After 2005 when duct occluders became available, detachable coils
were used only in elongated, some complex and small ducts. PDA was
categorized according to the classification described by Kricheenko
et al. All patients were followed up by color Doppler echocardiography at 24-48 hours, 1 month, 3 months, 6 months, 12 months and
every 1-2 year after the procedure.
Results: Coil occlusion was attempted in 234 patients. Median patient
age was 2.5 years (range, 10 months-39 years), median weight was
12 kg (range, 7-55 kg), and median PDA diameter was 2 mm (range,
1-4.3mm). The angiographic appearance of the ductus was type A in
124 (53%), type B in 16 (6.8%), type C in 18 (7.7%), type D in 98 (3.8%),
type E in 54 (23.1%) and others in 13 (5.6%) patients (postoperative
residual PDA in 9, residual shunt after umbrella occlusion in 3 and
residual shunt after coil occlusion in 1). The catheter approach wa