Korean Circ J.  2011 Nov;41(11):654-657. 10.4070/kcj.2011.41.11.654.

Transcatheter Closure of a Residual Patent Ductus Arteriosus After Surgical Ligation in Children

• Baspinar O
• Kilinc M
• Kervancioglu M
• Irdem A

• KMID: 2225073
• DOI: http://doi.org/10.4070/kcj.2011.41.11.654

Abstract

BACKGROUND AND OBJECTIVES
To assess the safety and efficacy of transcatheter closure of residual ductal flow after initial surgical ligation of the arterial duct.
SUBJECTS AND METHODS
Between June 2005 and December 2009, transcatheter occlusion of residual postsurgical ductus arteriosus was performed in six children.
RESULTS
The mean patient age was 10+/-5.5 years; mean post-procedural time since the initial surgical closure was 6.3+/-4.5 years. The mean diameter of the patent ductus arteriosus on angiography was 1.3+/-0.5 mm (range, 0.8 to 2.4 mm). Three different types of coils were used successfully without any complications.
CONCLUSION
Transcatheter occlusion of residual postsurgical arterial duct is a safe and successful procedure. However, attention should be paid due to the distorting shape of the arterial duct.

Keyword

Child

MeSH Terms

Angiography
Child
Ductus Arteriosus
Ductus Arteriosus, Patent
Humans
Ligation

Figure

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  Fig. 1 A: aortic angiogram demonstrating distorted shape and small postoperative flow like that in an aortopulmonary window. B: follow-up angiogram showing after placement of 38-5-5 Gianturco coil.

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  Fig. 2 A: aortic angiogram demonstrating distorted shape and a small, postoperative flow such as a short collateral. B: follow-up angiogram showing after placement of 38-2-3 Gianturco coil.

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  Fig. 3 A: aortic angiogram demonstrating distorted shape and a small postoperative flow such as a short collateral. B: follow-up angiogram showing after placement of 3/4 Flipper detachable coil.

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  Fig. 4 A: aortic angiogram demonstrating distorted shape and small postoperative flow such as that in an aortopulmonary window. B: follow-up angiogram showing after placement of 6/5 Flipper detachable coil.

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