Do we still need the surgeon to close the persistently patent arterial duct?

The closure of larger ducts using multiple coils was appealing, and often proved to be successful, but was associated with an increased risk of left pulmonary arterial stenosis,9 and a relatively high rate of inadvertent embolization.10 The introduction of the Cook detachable coil provided an even s...

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Bibliographic Details
Published in:Cardiology in the young 2006-12, Vol.16 (6), p.522-536
Main Authors: Galal, Mohammed O., Hussain, Arif, Arfi, Amin M.
Format: Article
Language:English
Subjects:
Biodegradable materials
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - instrumentation
Cardiac Surgical Procedures - methods
Child
Child, Preschool
devices
ductus arteriosus
Ductus Arteriosus, Patent - surgery
Equipment Design
Heart surgery
Humans
Infant
Infant, Newborn
Physical examinations
Postoperative Complications - etiology
Prostheses and Implants
Review Article
Risk
Transcatheter closure
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Description
Summary:The closure of larger ducts using multiple coils was appealing, and often proved to be successful, but was associated with an increased risk of left pulmonary arterial stenosis,9 and a relatively high rate of inadvertent embolization.10 The introduction of the Cook detachable coil provided an even safer option,11 and this device almost entirely replaced the Gianturco coil for closing small duct. [...] calcification of the duct favours transcatheter closure.20 In concert with the latter view, we believe that worldwide there is a general, albeit unofficial, consensus among the community of physicians dealing with congenital cardiac disease that transcatheter closure is today the treatment of choice for patency of the arterial duct, with cardiac surgery being indicated only rarely.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951106001314