Abstract:
OBJECTIVES:We evaluated the occlusion rate and safety of Cook detachable coils versus Gianturco coils in transcatheter closure of patent ductus arteriosus (PDA). BACKGROUND:The Cook detachable coil recently was introduced in an attempt to improve the safety of transcatheter closure of PDA. METHODS:Between January 1994 and September 1998, 272 patients underwent transcatheter PDA closure. Cook detachable coils were used in 137 patients, with a mean age of 43.9 months and weight of 13.8 kg. In 135 patients, Gianturco coils were used, with a mean age of 56.8 months and weight of 17.8 kg. The mean narrowest diameter of the PDA in the Cook detachable coil group was 2.85 mm versus 2.32 mm for the Gianturco coil group. RESULTS:The Cook detachable coil group was younger and weighed less than the Gianturco group (P < 0.05 and 0.02, respectively). Their narrowest PDA diameter was larger (P < 0.01). Embolization rate was significantly lower in the Cook coil group (9[6.5%] of 137 vs 22 (16.3%) of 135; P = < 0.013). The mean follow-up for the Cook coil group was significantly shorter (0.55 years) than for the Gianturco coil group (1.18 years; P < 0.001). On an intention-to-treat basis, complete occlusion by echocardiography was achieved in 99 (72.3%) of 137 patients in the Cook detachable coil group, which was significantly less than the Gianturco coil group (114 [84.4%] of 135; P = 0.008). CONCLUSION:Cook detachable coils for transcatheter closures of the PDA are safer than Gianturco coils. Hence, children with large ductal can be treated earlier in life. Short-term complete occlusion rate was lower in the Cook detachable coil group. This rate can be explained by a shorter follow-up time, larger ductal diameter, and the different materials used for the detachable coils.
journal_name
J Interv Cardioljournal_title
Journal of interventional cardiologyauthors
Galal MO,Bulbul Z,Kakadekar A,Fatani AE,de Moor M,el-Oufi S,Solymar L,al-Fadley F,Fawzy MEdoi
10.1111/j.1540-8183.2001.tb00730.xsubject
Has Abstractpub_date
2001-04-01 00:00:00pages
169-77issue
2eissn
0896-4327issn
1540-8183journal_volume
14pub_type
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journal_title:Journal of interventional cardiology
pub_type: 临床试验,杂志文章
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abstract::The antithrombotic effect of three different types of antithrombotic agents (antithrombin:argatroban, heparin, defibrinogenating agent:batroxobin) were evaluated in canine coronary and iliac arteries. An occlusive thrombus was produced by balloon injury. One of the three agents was infused intravenously at 1 hour afte...
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更新日期:1994-10-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章,meta分析,评审
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1046/j.1540-8183.2003.01052.x
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pub_type: 杂志文章,多中心研究
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更新日期:2011-12-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2002.tb01052.x
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更新日期:2019-08-21 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00338.x
更新日期:2001-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1540-8183.2006.00197.x
更新日期:2006-12-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00356.x
更新日期:2001-08-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00504.x
更新日期:2009-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1540-8183.2007.00216.x
更新日期:2007-02-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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doi:10.1111/j.1540-8183.2007.00301.x
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pub_type: 杂志文章,评审
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更新日期:2005-12-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
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更新日期:2009-12-01 00:00:00
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journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12374
更新日期:2017-04-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2002.tb01091.x
更新日期:2002-12-01 00:00:00
abstract::Transcatheter dilatation is considered the elective treatment of residual coarctation. In the presence of native coarctation, dilatation is often effective but in the first months of life, and the risk of aneurysm formation is not low. The use of stents in adolescents and adults provides excellent results and seems to...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1046/j.1540-8183.2003.01004.x
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Routine use of adjunctive devices to percutaneous coronary intervention (PCI) for the treatment of patients of ST-segment elevation myocardial infarction (STEMI) is questionable. Also, the clinical characteristics of STEMI patients that can modulate the treatment benefits of adjunctive devices are not fully ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析
doi:10.1111/j.1540-8183.2008.00420.x
更新日期:2009-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1540-8183.2010.00557.x
更新日期:2010-06-01 00:00:00
abstract::The reliability, rapidity, and safety of nonsurgical, transatrial pericardial access for local cardiac therapy have been demonstrated in healthy animals. Since many patients take aspirin or have increased right-sided pressures, we evaluated the procedure's safety under these conditions. Transatrial pericardial access ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00364.x
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Ideally, percutaneous, mechanical closure of defects of the atrial septum should completely resolve shunt. To achieve this goal, more information is needed about the factors associated with device failure. METHODS:Consecutive patients with cryptogenic neurological events who had severe baseline Valsalva shu...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00644.x
更新日期:2011-08-01 00:00:00
abstract:INTRODUCTION:Sirolimus-eluting stents (SES) have demonstrated low target vessel revascularizations and low incidence of angiographic restenosis in several clinical scenarios. The aim of the present study was to assess the efficacy and safety of SES for the treatment of proximal left anterior descending coronary artery ...
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pub_type: 杂志文章
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更新日期:2006-04-01 00:00:00