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Use of an Amplatzer Vascular Plug to occlude a tubular type of patent ductus arteriosus

Korean Journal of Pediatrics 2009;52(9):1035-1037.
Published online September 15, 2009.
Use of an Amplatzer Vascular Plug to occlude a tubular type of patent ductus arteriosus
Eun-Young Choi, So-Ick Jang, Soo-Jin Kim
Department of Pediatrics, Sejong General Hospital, Bucheon, Korea
원통형 모양 동맥관의 경피적 폐쇄술에서의 Amplatzer Vascular Plug 의 사용
최은영, 장소익, 김수진
부천세종병원 소아청소년과
Correspondence: 
Soo-Jin Kim, Email: Ksoojn@yahoo.co.kr
Abstract
Patent ductus arteriosus (PDA) is a common congenital heart defect. All PDAs, regardless of size or degree of symptoms, require occlusion. Transcatheter PDA occlusion features fewer complications than trans-thoracic closure. It is also more cost-effective and has an excellent occlusion rate. Therefore, transcatheter PDA occlusion is accepted as the standard treatment option for PDA. However, tubular-type PDAs are difficult to close with ordinary detachable coils or the Amplatzer Duct Occluder; thus, these lesions remain a challenge for transcatheter closure. We attempted to occlude a tubular-type PDA by using an oversized Amplatzer Vascular Plug, which allowed intraluminal packing of the ductus. By using this treatment method, PDA occlusion was achieved safely with an excellent final outcome. We suggest that this approach may be a good option for transcatheter closure of a tubular-type PDA.
Key Words: Ductus arteriosus, Patent, Heart Catheterization, Device


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