Korean J Med.  1998 Jul;55(1):124-126.

Nonsurgical Treatment for Severe Hemolysis Following Transcatheter Closure of the Patent Ductus Arteriosus Using the Rashkind Umbrella Device

Affiliations
  • 1Department of Internal Medicine, College of Medicine, University of Ulsan, Asan Medical Center, Seoul, Korea.

Abstract

Transcatheter occlusion of the patent ductus arteriosus(PDA) using the Rashkind double umbrella device has become an accepted practice as an effective alternative to surgical ligation in many centers. We experienced three cases of medically refractory severe mechanical hemolysis following transcatheter closure of PDA due to residual shunt. Hemolysis resolved rapidly and completely after deployment of second or more Rashkind umbrellas without surgical correction of the residual shunt. In conclusion, reinsertion of the Rashkind umbrella is a useful modality for treatment of severe hemolysis developed after transcatheter closure of the PDA.

Keyword

patent ductus arteriosus; Rashkind umbrella device; hemolysis

MeSH Terms

Ductus Arteriosus, Patent*
Hemolysis*
Ligation
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