caa a22 4500 475786882 CHVBK 20180406123700.0 cr unu---uuuuu 170329e20000401xx s 000 0 eng 10.1007/s004310051282 doi (NATIONALLICENCE)springer-10.1007/s004310051282 Safety and efficacy of interventional occlusion of patent ductus arteriosus with detachable coils: a multicentre experience [Elektronische Daten] [Michael Hofbeck, Georg Bartolomaeus, Gernot Buheitel, Reinhard Esser, Lutz Grävinghoff, Walter Hoffmann, Wolfgang Kienast, Ina Michel-Behnke, Ekaterina G. Scharabrine, Dietmar Schranz, Achim A. Schmaltz, Boris E. Shakhov, Helmut Singer, Angelika Lindinger] In order to define the safety and efficacy of Cook detachable coils for interventional closure of patent ductus arteriosus, we performed a retrospective analysis of all patients who underwent cardiac catheterization in seven centres for intended interventional occlusion of patent arterial duct. From January 1995 until March 1998, cardiac catheterization for intended interventional occlusion of patent arterial duct was performed in 317 consecutive children. Successful placement of at least one coil was achieved in 282 children (89%). The mean diameter of the ductus in children treated with Cook detachable coils was 1.65 mm, mean fluoroscopy time was 10.7 min. Occlusion rates were 62% 10 min after the procedure, 82% at the time of discharge, 91% at 4 months and 95% at late follow-up (2 years). In children with a ductus diameter of ≤ 2.5 mm the rate of successful coil deployment was 94% with a 98% occlusion rate at late follow-up. Complications occurred in 11 procedures (3.5%) including haemolysis (3 patients), embolization of a coil to the pulmonary artery (7 patients, 2.3%) and inability to release a coil (1 patient). Conclusion In our opinion, Cook detachable coils are safe and effective especially in the treatment of persistent ductus arteriosus with a diameter ≤ 2.5 mm. Due to the low costs these coils appear to be superior to other devices in this subgroup of patients. Springer-Verlag Berlin Heidelberg, 2000 Key words Ductus arteriosus nationallicence Coil occlusion nationallicence Detachable coil nationallicence Catheter intervention nationallicence Hofbeck Michael Department of Paediatric Cardiology, University Childrens Hospital, Loschgestraße 15, 91054 Erlangen, Germany e-mail: michael.hofbeck@kinder.med.uni-erlangen.de Tel.: +49-9131-853-3750; Fax: +49-9131-853-5987, DE aut Bartolomaeus Georg Department of Paediatric Cardiology, University Childrens Hospital, Rostock, Germany, DE aut Buheitel Gernot Department of Paediatric Cardiology, University Childrens Hospital, Loschgestraße 15, 91054 Erlangen, Germany e-mail: michael.hofbeck@kinder.med.uni-erlangen.de Tel.: +49-9131-853-3750; Fax: +49-9131-853-5987, DE aut Esser Reinhard Department of Paediatric Cardiology, Johanniter Childrens Hospital, Sankt Augustin Germany, DE aut Grävinghoff Lutz Department of Paediatric Cardiology, Johanniter Childrens Hospital, Sankt Augustin Germany, DE aut Hoffmann Walter Department of Paediatric Cardiology, University Childrens Hospital, Homburg, Germany, DE aut Kienast Wolfgang Department of Paediatric Cardiology, University Childrens Hospital, Rostock, Germany, DE aut Michel-Behnke Ina Department of Paediatric Cardiology, University Childrens Hospital, Giessen, Germany, DE aut Scharabrine Ekaterina G. Department of Paediatric Cardiology, State Medical Academy, Nishnij-Novgorod, Russia, RU aut Schranz Dietmar Department of Paediatric Cardiology, University Childrens Hospital, Giessen, Germany, DE aut Schmaltz Achim A. Department of Paediatric Cardiology, University Childrens Hospital, Essen, Germany, DE aut Shakhov Boris E. Department of Paediatric Cardiology, State Medical Academy, Nishnij-Novgorod, Russia, RU aut Singer Helmut Department of Paediatric Cardiology, University Childrens Hospital, Loschgestraße 15, 91054 Erlangen, Germany e-mail: michael.hofbeck@kinder.med.uni-erlangen.de Tel.: +49-9131-853-3750; Fax: +49-9131-853-5987, DE aut Lindinger Angelika Department of Paediatric Cardiology, University Childrens Hospital, Homburg, Germany, DE aut https://doi.org/10.1007/s004310051282 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004310051282 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hofbeck Michael Department of Paediatric Cardiology, University Childrens Hospital, Loschgestraße 15, 91054 Erlangen, Germany e-mail: michael.hofbeck@kinder.med.uni-erlangen.de Tel.: +49-9131-853-3750; Fax: +49-9131-853-5987, DE aut NATIONALLICENCE 700 1- Bartolomaeus Georg Department of Paediatric Cardiology, University Childrens Hospital, Rostock, Germany, DE aut NATIONALLICENCE 700 1- Buheitel Gernot Department of Paediatric Cardiology, University Childrens Hospital, Loschgestraße 15, 91054 Erlangen, Germany e-mail: michael.hofbeck@kinder.med.uni-erlangen.de Tel.: +49-9131-853-3750; Fax: +49-9131-853-5987, DE aut NATIONALLICENCE 700 1- Esser Reinhard Department of Paediatric Cardiology, Johanniter Childrens Hospital, Sankt Augustin Germany, DE aut NATIONALLICENCE 700 1- Grävinghoff Lutz Department of Paediatric Cardiology, Johanniter Childrens Hospital, Sankt Augustin Germany, DE aut NATIONALLICENCE 700 1- Hoffmann Walter Department of Paediatric Cardiology, University Childrens Hospital, Homburg, Germany, DE aut NATIONALLICENCE 700 1- Kienast Wolfgang Department of Paediatric Cardiology, University Childrens Hospital, Rostock, Germany, DE aut NATIONALLICENCE 700 1- Michel-Behnke Ina Department of Paediatric Cardiology, University Childrens Hospital, Giessen, Germany, DE aut NATIONALLICENCE 700 1- Scharabrine Ekaterina G. Department of Paediatric Cardiology, State Medical Academy, Nishnij-Novgorod, Russia, RU aut NATIONALLICENCE 700 1- Schranz Dietmar Department of Paediatric Cardiology, University Childrens Hospital, Giessen, Germany, DE aut NATIONALLICENCE 700 1- Schmaltz Achim A. Department of Paediatric Cardiology, University Childrens Hospital, Essen, Germany, DE aut NATIONALLICENCE 700 1- Shakhov Boris E. Department of Paediatric Cardiology, State Medical Academy, Nishnij-Novgorod, Russia, RU aut NATIONALLICENCE 700 1- Singer Helmut Department of Paediatric Cardiology, University Childrens Hospital, Loschgestraße 15, 91054 Erlangen, Germany e-mail: michael.hofbeck@kinder.med.uni-erlangen.de Tel.: +49-9131-853-3750; Fax: +49-9131-853-5987, DE aut NATIONALLICENCE 700 1- Lindinger Angelika Department of Paediatric Cardiology, University Childrens Hospital, Homburg, Germany, DE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer