Abstract:
BACKGROUND:This report describes the long-term follow-up of transcatheter closure of patent ductus arteriosus (PDA) with 2 different modalities in 123 patients of diverse ages. METHODS AND RESULTS:Between October 1990 and August 1997, 123 patients underwent transcatheter PDA (1.9 to 7.5 mm) closure at a mean age of 6.8 +/- 8.9 years (range 0.06 to 52) and mean weight of 20.9 +/- 17. 6 kg (range 2.7 to 83). In the initial procedure, the Rashkind device was used in 60, the Gianturco coil(s) in 60, and the Rashkind device with a coil in 3 patients. Six-month closure rate for the Rashkind group was 77% versus 90% for the coil group. The second procedure was carried out for residual shunt in 19 (14 in the Rashkind group and 5 in the coil group) and a third procedure in 1 patient from the Rashkind group. A balloon wedge catheter was used in 50 of 78 coil procedures to prevent coil embolization. One device and 11 coils (8 without balloon aid) embolized to the pulmonary arteries. The device and all coils except 2 were retrieved successfully. Overall, 122 (99%) patients showed complete PDA closure. The mean uneventful follow-up period was 44.11 +/- 23.77 months (range 8.7 to 90.28). CONCLUSIONS:Transcatheter closure of PDA is feasible in infants as well as in patients >50 years of age without significant complications. The coils are easy to implant, less expensive, and multiple coils may be used in moderately large (>3.5 mm) ducts more effectively than with the Rashkind device. The use of a balloon wedge catheter prevents immediate coil embolization. Multiple procedures are feasible and safe to achieve complete closure.
journal_name
Am Heart Jjournal_title
American heart journalauthors
Janorkar S,Goh T,Wilkinson Jdoi
10.1016/s0002-8703(99)70085-2subject
Has Abstractpub_date
1999-12-01 00:00:00pages
1176-83issue
6 Pt 1eissn
0002-8703issn
1097-6744pii
S000287039900071Xjournal_volume
138pub_type
临床试验,杂志文章abstract::Adverse drug events affect millions of patients each year. An important drug-drug interaction between amiodarone and vitamin K antagonists is encountered frequently in daily clinical practice. Warfarin, a commonly used anticoagulant, is a mixture of 2 optically active isomers (R and S enantiomers). The S enantiomer is...
journal_title:American heart journal
pub_type: 杂志文章,评审
doi:10.1016/j.ahj.2010.07.008
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abstract:OBJECTIVES:Impedance monitoring has been proposed as a method to assess the adequacy of tissue heating during catheter ablation procedures. The purpose of this study was to evaluate the relation among initial impedance, fall in impedance, and electrode temperature during catheter ablation procedures. METHODS AND RESUL...
journal_title:American heart journal
pub_type: 杂志文章
doi:10.1016/s0002-8703(98)70130-9
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journal_title:American heart journal
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,随机对照试验
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abstract:BACKGROUND:The major structural characteristic of congestive heart failure is myocardial cell death. The aim of our study was to determine whether the level of cardiac troponin T, a protein specific for cardiac necrosis, was increased in patients with congestive heart failure. METHODS AND RESULTS:Plasma samples were o...
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pub_type: 杂志文章
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abstract::The novel oral anticoagulants (NOACs) have rapidly emerged as an alternative therapy to warfarin. Several recent phase 3 randomized control trials have demonstrated the efficacy and safety of the NOACs in the treatment for patients with nonvalvular atrial fibrillation. As the NOACs are incorporated in clinical practic...
journal_title:American heart journal
pub_type: 杂志文章,评审
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abstract:BACKGROUND:Little is known about the role of diet in the development of venous thromboembolism (VTE). We explored the prospective relation of dietary patterns, food groups, and nutrients to incident VTE in older women. METHODS:In 1986, Iowa women aged 55 to 69 years completed a mailed survey, including a 127-item food...
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journal_title:American heart journal
pub_type: 杂志文章
doi:10.1016/0002-8703(84)90374-0
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journal_title:American heart journal
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:American heart journal
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pub_type: 杂志文章,随机对照试验
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journal_title:American heart journal
pub_type: 杂志文章,meta分析
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更新日期:2011-03-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章,随机对照试验
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更新日期:2016-09-01 00:00:00
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journal_title:American heart journal
pub_type: 临床试验,杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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更新日期:1978-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:1994-06-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
doi:
更新日期:1976-08-01 00:00:00
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journal_title:American heart journal
pub_type: 杂志文章
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更新日期:2006-08-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2009-03-01 00:00:00
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journal_title:American heart journal
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更新日期:2002-07-01 00:00:00
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journal_title:American heart journal
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期:1997-08-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-11-01 00:00:00