Transcatheter closure of the patent ductus arteriosus in adults using the Gianturco coil

Frank Ing, Charles E. Mullins, Marion Rose, Yehuda Shapir, Fredrick Z. Bierman

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background and hypothesis: Although results of surgical ligation of the patent ductus arteriosus (PDA) in the pediatric age group are excellent, surgical management of the adult with a PDA may be more problematic. The PDA that presents in adulthood may be calcified and friable, rendering simple ligation via a thoracotomy difficult, inadequate, and hazardous. Patch closure of the ductus arteriosus from either the aortic or pulmonary artery orifice using cardiopulmonary bypass or transient aortic cross-clamping is necessary but increases surgical risks. Furthermore, older patients with diseases unrelated to their PDA and patients with Down's syndrome may have higher risks with intubation, general anesthesia, and surgery. Early results of percutaneous transcatheter occlusion of the PDA with Gianturco coils performed under sedation and local anesthesia are promising. Methods: Six adults with mean age of 39.1 years (range 23.1-62.0 years) were found to have an isolated PDA with mean minimum diameter of 2.7 mm image 1.0-5.0 mm) at cardiac catheterization. All underwent percutaneous transcatheter occlusion of the PDA using Gianturco coils. Results: Coil implantation was successful in all patients. There were no complications and all were discharged home within 24 hours. Complete ductal occlusion was seen immediately in 4 of 6 patients (67%) while 2 of 6 (33%) had small residual leaks. However, complete occlusion was achieved in all patients by 6 mouths following the procedure. Conclusion: Transcatheter occlusion of the PDA using coils is safe and efficacious in adults.

Original languageEnglish (US)
Pages (from-to)875-879
Number of pages5
JournalClinical Cardiology
Volume19
Issue number11
DOIs
StatePublished - Jan 1 1996
Externally publishedYes

Fingerprint

Patent Ductus Arteriosus
Ligation
Ductus Arteriosus
Local Anesthesia
Thoracotomy
Cardiac Catheterization
Down Syndrome
Cardiopulmonary Bypass
Intubation
Constriction
General Anesthesia
Pulmonary Artery
Mouth
Age Groups
Pediatrics

Keywords

  • adult
  • Down's syndrome
  • Gianturco coil
  • patent ductus arteriosus

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Transcatheter closure of the patent ductus arteriosus in adults using the Gianturco coil. / Ing, Frank; Mullins, Charles E.; Rose, Marion; Shapir, Yehuda; Bierman, Fredrick Z.

In: Clinical Cardiology, Vol. 19, No. 11, 01.01.1996, p. 875-879.

Research output: Contribution to journalArticle

Ing, Frank ; Mullins, Charles E. ; Rose, Marion ; Shapir, Yehuda ; Bierman, Fredrick Z. / Transcatheter closure of the patent ductus arteriosus in adults using the Gianturco coil. In: Clinical Cardiology. 1996 ; Vol. 19, No. 11. pp. 875-879.
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