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Nonsurgical Closure of Patent Ductus Arteriosus with the Rashkind PDA Occluder System

Journal of the Korean Pediatric Society 1993;36(4):550-555.
Published online April 15, 1993.
Nonsurgical Closure of Patent Ductus Arteriosus with the Rashkind PDA Occluder System
Yong Soo Yun, Jung Yun Choi, Jung Il Noh
Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea
소아의 동맥관 개존에서 Rashkind Umbrella를 이용한 비수술적 폐쇄
윤용수, 최정연, 노정일
서울대학교 의과대학 소아과학교실
Abstract
The first successful application of a transcatheter occlusion of patent ductus arteriosus (PDA) was performed in 1977. Since that time, with continuing improvement and modification of the equipment as well as in the implantation technique, a clinical success rate of abont 84% was accomplished. In children's hospital, Seoul National University, since March 1992, 29 children with simple PDA were treated with use of the Rashkind PDA occluder systems. Successful closure was accomplished in 27 (93%) of the total cases. Postrelease embolizations occurred in 2 instances with oversized large ductus (> 8 mm) and they required emergency surgery. Residual shunt rate )no audible murmur) by color Doppler Echocardiograhy was 10% (3 cases) at 6 months after implantation. We conclude that transcatheter closure of patent ductus arteriosus is feasible in the majority of children with PDA.
Key Words: Patent ductus arteriosus, Umbrella occlusion


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