Abstract:
OBJECTIVE:To investigate the effectiveness of the strategy of transcatheter occlusion with the Gianturco coil for small-to-moderate sized ductus and with Amplatzer duct occluder (ADO) for large ductus. PATIENT AND METHODS:For ductus closure, the following strategy was applied: ADO was used in large ductus: infants and young children weighing < 15 kg with a ductus diameter > or = 3 mm and in older children or adults with a ductus diameter > or = 4 mm and coils were employed in patients with small-to-moderate sized ductus. During a 3-year period, this strategy was applied in 136 patients. The results were compared between 214 patients (group I) undergoing ductus closure using only coil before application of this strategy and strategic closure in 136 patients (group II). Each group was divided into 2 subgroups: subgroup A with large ductus and subgroup B with small-to-moderate ductus. There were 54 patients in subgroup IA, 160 in subgroup IB, 33 in subgroup IIA and 103 in subgroup IIB, respectively. RESULTS:In group I, PDA occlusion was successful in 207 (96.7%) and failed in 7 (6 of group IA and 1 of group IB). In group II, ductus closure was successful in 134 patients (98.5%) (32/33 with ADO and 102/103 with coils). There was no significant difference in success rate between group I and II. Distal embolization occurred in 19 patients of group I and in 2 of group II, respectively (19/214 vs. 2/136, P < 0.01). There was no significant difference in success rate between group IA and IIA but the distal embolization rate was higher in group IA than IIA (13/54 vs. 1/33, P=0.014). Left pulmonary artery stenosis was found exclusively in 9 patients of group I at the 6-month follow-up (P < 0.05). Nine patients in group I required second intervention to achieve complete occlusion. CONCLUSIONS:The strategy of ductus closure worked well by reducing embolization rate, incidence of left pulmonary artery stenosis and the need of second intervention.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Wang JK,Hwang JJ,Chiang FT,Wu MH,Lin MT,Lee WL,Lue HCdoi
10.1016/j.ijcard.2004.09.021subject
Has Abstractpub_date
2006-01-04 00:00:00pages
10-5issue
1eissn
0167-5273issn
1874-1754pii
S0167-5273(05)00335-9journal_volume
106pub_type
杂志文章abstract:BACKGROUND:Atrial fibrillation (AF) is a leading cause of preventable stroke in Australia. Given that anticoagulation therapy can significantly reduce this stroke risk, we sought to characterise anticoagulation use in Indigenous and non-Indigenous Australians with AF. METHODS:Administrative, clinical and prescription ...
journal_title:International journal of cardiology
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doi:10.1016/j.ijcard.2015.03.064
更新日期:2015-07-15 00:00:00
abstract::In a series of 171 consecutive survivors of acute myocardial infarction, the predictive value of late potentials and QTc prolongation was prospectively assessed. QT intervals were measured in lead V2, corrected QT (QTc) was calculated using Bazett's equation (cut-off value 440 ms). Late potentials were considered to b...
journal_title:International journal of cardiology
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更新日期:1994-09-01 00:00:00
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journal_title:International journal of cardiology
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doi:10.1016/0167-5273(96)02671-x
更新日期:1996-08-01 00:00:00
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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更新日期:2005-04-20 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,meta分析
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更新日期:2013-10-12 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/0167-5273(88)90243-4
更新日期:1988-06-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2017-02-01 00:00:00
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journal_title:International journal of cardiology
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更新日期:2013-11-30 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2015-09-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2014.10.116
更新日期:2015-01-20 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2007-05-31 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2011.12.016
更新日期:2013-07-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2018.08.049
更新日期:2019-02-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
doi:10.1016/j.ijcard.2007.11.006
更新日期:2008-07-21 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2006.08.021
更新日期:2007-09-14 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/0167-5273(92)90295-e
更新日期:1992-09-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2019.09.058
更新日期:2020-01-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2020-01-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2017-01-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2016.10.110
更新日期:2017-01-15 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2007.06.111
更新日期:2008-11-28 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2007.01.095
更新日期:2008-02-20 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2006.12.012
更新日期:2008-01-24 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2016.06.224
更新日期:2016-08-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
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更新日期:1996-03-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2008.03.071
更新日期:2009-06-26 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2013-10-09 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/s0167-5273(98)00018-7
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