Comparison of percutaneous closure of large patent ductus arteriosus by multiple coils versus the Amplatzer duct occluder device.

Abstract

This study compared the efficacy and costs of the most used approaches for percutaneous closure of large patent ductus arteriosus, that is, multiple coils and the Amplatzer duct occluder (ADO) device. From April 2000 to September 2003, 47 patients underwent closure of large, symptomatic patent ductus arteriosus (diameter 4.6 +/- 3.0 mm/m(2); QP/QS 2.1 +/- 1.9) with multiple Cook detachable coils (n = 19) or the ADO device (n = 28). The multiple coil approach was significantly cheaper (1,389 +/- 168 vs 3,811 +/- 38, p <0.0001) but as effective as the ADO device over a mid-term follow-up (occlusion rate 89.5% vs 96.4%, p = NS).

• Authors: Giuseppe Santoro, Maurizio Cappelli Bigazzi, Maria Teresa Palladino, Maria Giovanna Russo, Marianna Carrozza, Raffaele Calabrò
• Journal: The American journal of cardiology (Am J Cardiol) Vol. 94 Issue 2 Pg. 252-5 (Jul 15 2004) ISSN: 0002-9149 [Print] United States
• PMID: 15246917 (Publication Type: Comparative Study, Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Cardiac Catheterization
• Child
• Child, Preschool
• Coronary Angiography
• Ductus Arteriosus, Patent (therapy)
• Fluoroscopy
• Hemodynamics
• Humans
• Infant
• Middle Aged
• Prostheses and Implants