Snare-Assisted Transcatheter Coil Occlusion of Patent Ductus Arteriosus

用網圈輔助技巧經心導管以線圈關閉存開放性動脈導管

徐仲豪(Jong-Hau Hsu) ； 吳俊仁(Jiunn-Ren Wu) ； 戴任恭(Zen-Kong Dai) ； 吳定國(Ding-Kuo Wu)

《The Kaohsiung Journal of Medical Sciences》 18卷9期 (2002/09) Pp. 471-475

https://doi.org/10.6452/KJMS.200209.0471

摘要

經心導管以線圈關閉小型或中型存開放性動脈導管已被證實為安全及可靠的方法。有許多學者已研究過，以不同技巧為之而有不同結果之報告。為了要減少線圈意外脫位並阻塞其它血管此種潛在之嚴重併發症，並改善過程中線圈之操控性，一種以網圈於肺主動脈輔助之改善方法已被發展出來。然而，關於此種特殊技巧之文獻仍有限。在此我們報告3位1-8歲兒童使用此一技巧之成功經驗。我們在3年追蹤期中並無線圈脫位、左肺動脈阻塞或殘餘分流現象。我們發現此種方法在植入線圈時有安全、適當定位以及增加穩定性之優點。

關鍵字

網圈 ； 線圈 ； 開放性動脈導管

並列摘要

Transcatheter occlusion of a small or moderate patent ductus arteriosus (PDA) using Gianturco coils is safe and effective. Several investigators have reported using different techniques with variable results. To eliminate the serious potential complications of inadvertent coil embolization to undesirable sites and to improve control of the coil throughout the procedure, a modified snare-assisted method with approach from the main pulmonary artery was developed. However, articles discussing this technique are still limited. Herein, we report our successful experience of the snare-assisted technique to occlude small or moderate PDAs in three children aged from 1 to 8 years old. We achieved immediate total occlusion in all three cases with no complications. All three patients were discharged the next day and there was no coil dislodgement, left pulmonary stenosis, or residual shunting during the follow-up period of up to 3 years. This technique had the advantages of safety, optimal positioning, and improved stability of coil implantation.

並列關鍵字

patent ductus arteriosus ； coil ； snare