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Use in children of an additional umbrella for transcatheter occlusion of residual patency of the arterial duct following initial insertion of an umbrella device

Published online by Cambridge University Press:  19 August 2008

Saad Al Yousef*
Affiliation:
From the Riyadh Cardiac Centre, Armed Forces Hospital, Riyadh, Saudi Arabia
Ali Khan
Affiliation:
From the Riyadh Cardiac Centre, Armed Forces Hospital, Riyadh, Saudi Arabia
Charles E. Mullins
Affiliation:
From the Riyadh Cardiac Centre, Armed Forces Hospital, Riyadh, Saudi Arabia
William Sawyer
Affiliation:
From the Riyadh Cardiac Centre, Armed Forces Hospital, Riyadh, Saudi Arabia
*
Dr. Saad Al Yousef, Cardiac Department, Armed Forces Hospital, P.O. Box 7897, Riyadh 11159, Saudi Arabia. Tel. 966-1-477-7714, extension 5251; FAX. 966-1-476-0543.

Summary

After an initial attempt to close arterial ducts by the transcatheter insertion of an umbrella device had left significant residual patency, further attempts at closure were made in 14 patients by the insertion of an additional umbrella device. The ages of the patients ranged from four to 11 years. Overall, 17 attempts were made to insert additional devices at intervals of between six to 26 months after the insertion of the first umbrella. Successful insertion of a device was achieved in two patients only at a third attempt. One patient required the insertion of a third umbrella to achieve complete occlusion of the patent duct. Complete closure of the residual patency was achieved in 13 of the 14 patients. The remaining patient has been scheduled for insertion of a third umbrella.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1992

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