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경피적 동맥관 폐쇄술에서 최근의 기구들의 전략적 이용과 결과

Other Titles
 A new strategy for transcatheter closure of patent ductus arteriosus with recent-generation devices 
 김상이  ;  이수현  ;  김남균  ;  최재영  ;  설준희 
 Korean Journal of Pediatrics, Vol.52(4) : 488-493, 2009 
Journal Title
Korean Journal of Pediatrics
Issue Date
Ductus Arteriosus ; Patent ; Cardiac Catheterization ; Devices
Purpose: the aim of this study was to assess the efficacy and safety of recent-generation patent ductus arteriosus (PDA) closure devices applied by a new selection strategy according to the characteristics of each PDA.

Methods:From February 2003 to January 2006, 138 patients underwent transcatheter closure of PDA (study group). According to the size and morphology of each ductus, a COOK Detachable Coil or "flex" PFM Nit-Occlud was used for a small ductus (group 1, n=43); "medium" PFM Nit-Occlud (group 2, n=49) for a moderate ductus; and an Amplatzer Duct Occluder (group 3, n=46) for a large ductus. the 83 patients who underwent transcatheter closure of PDA from February 2000 to January 2003 were defined as the comparison group. the Qp/Qs ratio, pulmonary/aorta pressure ratio, and MD of the ductus were compared. Immediate and follow-up results including residual shunts and complications were also evaluated and compared among groups.

Results: in all 138 patients, complete occlusions were confirmed without major complications, while procedure failure (n=2, 2.2%), device embolization (n=1, 1.1%), and persistent residual shunt (n=4, 4.5%) were documented in the comparison group. Total complication rates were lower in the study group than in the comparison group (study group, 1.4%; comparison group, 9.0%; P<0.05).

Conclusions: A novel strategy adopting the merits of various recent-generation devices for transcatheter closure of PDA provides excellent clinical results with minimal risk.
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1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyun(김남균) ORCID logo https://orcid.org/0000-0001-6923-230X
Sul, Jun Hui(설준희)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
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