PMID- 16377920
OWN - NLM
STAT- MEDLINE
DCOM- 20060126
LR  - 20220330
IS  - 1346-9843 (Print)
IS  - 1346-9843 (Linking)
VI  - 70
IP  - 1
DP  - 2006 Jan
TI  - Coil occlusion of patent ductus arteriosus.
PG  - 28-30
AB  - BACKGROUND: Coils are the only devices available for transcatheter occlusion of 
      patent ductus arteriosus (PDA) in Japan. Since April 1999, we have introduced a 
      0.052-inch Gianturco coil (0.052-inch coil) to close PDA >or=2.5 mm. METHODS AND 
      RESULTS: A retrospective survey of the outcome of coil occlusions for PDA >or=2.5 
      mm before and after the 0.052-inch coil became available found that (1) the 
      frequency of PDA >or=2.5 mm among all candidates for coil occlusion significantly 
      increased after the availability of a 0.052-inch coil (p<0.01); (2) deployment 
      complicated by migration (p<0.01), and prolonged procedure time (p<0.05) were 
      significantly decreased after the introduction of the 0.052-inch coil. In a 
      multivariate logistic regression model for uneventful deployment adjusted for 
      age, pulmonary to systemic flow ratio, and use of a 0.052-inch coil, use of the 
      0.052-inch coil significantly decreased eventful deployment (p<0.05); and (3) 
      successful deployment of a coil for PDA >or=4 mm significantly increased with the 
      0.052-inch coil (p<0.01). Complete occlusion was achieved once deployment was 
      successful. CONCLUSION: Introduction of the 0.052-inch coil decreased complicated 
      coil occlusion deployment for PDA >or=2.5 mm, and contributed to a better 
      likelihood of coil occlusion for PDA >or=4 mm.
FAU - Tomita, Hideshi
AU  - Tomita H
AD  - Department of Pediatrics, Sapporo Medical University School of Medicine, Japan. 
      tomitah@sapmed.ac.jp
FAU - Takamuro, Motoki
AU  - Takamuro M
FAU - Fuse, Shigeto
AU  - Fuse S
FAU - Horita, Norihisa
AU  - Horita N
FAU - Hatakeyama, Kinya
AU  - Hatakeyama K
FAU - Tsutsumi, Hiroyuki
AU  - Tsutsumi H
FAU - Yazaki, Satoshi
AU  - Yazaki S
FAU - Echigo, Shigeyuki
AU  - Echigo S
FAU - Kimura, Kohji
AU  - Kimura K
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Circ J
JT  - Circulation journal : official journal of the Japanese Circulation Society
JID - 101137683
SB  - IM
MH  - Balloon Occlusion/instrumentation/*methods
MH  - Cardiac Catheterization
MH  - Ductus Arteriosus, Patent/*therapy
MH  - Equipment Design
MH  - Humans
MH  - Japan
MH  - Multivariate Analysis
MH  - Odds Ratio
MH  - Regression Analysis
MH  - Reproducibility of Results
MH  - Retrospective Studies
MH  - Safety
MH  - Treatment Outcome
EDAT- 2005/12/27 09:00
MHDA- 2006/01/27 09:00
CRDT- 2005/12/27 09:00
PHST- 2005/12/27 09:00 [pubmed]
PHST- 2006/01/27 09:00 [medline]
PHST- 2005/12/27 09:00 [entrez]
AID - JST.JSTAGE/circj/70.28 [pii]
AID - 10.1253/circj.70.28 [doi]
PST - ppublish
SO  - Circ J. 2006 Jan;70(1):28-30. doi: 10.1253/circj.70.28.