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경피적 동맥관 폐쇄술에 사용된 Duct-Occlud coil의 종류에 따른 중-단기 결과의 비교

Other Titles
 Impact of Device Evolution in Transcatheter Closure of Patent Ductus Arteriosus Using Duct-Occlud Coils : Comparison of Mid-term Results 
 김명관  ;  한동기  ;  최재영  ;  김유리아  ;  유병원  ;  최덕영  ;  설준희  ;  이승규 
 Korean Journal of Pediatrics, Vol.48(2) : 158-164, 2005 
Journal Title
Korean Journal of Pediatrics
Issue Date
Patent ductus arteriosus ; Transcatheter occlusion ; Duct-Occlud
Patent ductus arteriosus ; Transcatheter occlusion ; Duct-Occlud
Purpose : We reviewed the therapeutic results of various Duct-Occlud coils(pfm AG, K ln, Germany) to evaluate the efficacy of the most-recently modified Duct-Occlud coil(Nit-Occlud) in the transcatheter closure of patent ductus arteriosus(PDA), including large defects more than 4 mm in diameter.
Methods : Two hundred and five patients who underwent percutaneous PDA occlusion using Duct- Occlud devices from March 1996 to December 2003 were enrolled and four types of Duct-Occlud [Standard(S), Reinforced(R), Reinforced reverse cone(RR) and Nit-Occlud(N)] were used in this study. The patients were followed up by echocardiogram and physical examination before discharge, one month, six months and 12 months after the procedure.
Results : The rate of residual shunt according to the type of Duct-Occlud were as follows : S-54%, R-72%, RR-50%, N-14%(P<0.05 compared with other devices) at one month, S-25%, R-44%, RR- 37%, N-0%(P<0.05 compared with other devices) at six months, S-8%, R-8%, RR-4%, N-0%(P< 0.05 compared with S and R) at 12 months and later. Nit-Occlud coil showed the complete occlusion of PDA after six months of follow-up, even in 12 patients with relatively large PDA(>4 mm).
Conclusion : The transcatheter closure of PDA using Duct-Occlud was an effective treatment and our study revealed that a Nit-Occlud coil which showed higher rate of occlusion even in PDA with large diameters over than 4 mm, was a more effective modality compared to previous devices.
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1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yuria(김유리아)
Yoo, Byung Won(류병원) ORCID logo https://orcid.org/0000-0001-6895-1484
Sul, Jun Hui(설준희)
Lee, Sung Kyu(이승규)
Choi, Deok Young(최덕영)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
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