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Spring coil embolization of a patent ductus arteriosus in an adult

โœ Scribed by John R. Laird; Michael C. Slack; Patricia Gurczak; Patrick D. Gorman; Dale C. Wortham

Publisher
Springer
Year
1995
Tongue
English
Weight
620 KB
Volume
18
Category
Article
ISSN
1432-086X

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โœฆ Synopsis

To date, coil embolization has been reserved for occlusion of the small patent ductus arteriosus (PDA) because of potential dislodgement of the coils. We report a case of a larger, hemodynamically significant PDA in an adult which was successfully closed by two spring coils using a "crossed catheter" technique for coil delivery.

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We describe the development of hemolysls from moderate residual shunting across a patent ductus arteriosus following coil embollzatlon. The fall in hemoglobin levels from 11.6 to 6.0 gm/dl necessitated a second coil procedure which resulted in complete closure of the residual shunting and resolution

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## Abstract The use of Gianturco coils (Cook, Inc., Bloomington, IN) has been recently described as a method of occluding restrictive patent ductus arteriosus (PDA). Precise control of the coil during positioning or withdrawal is difficult. We designed an inexpensive and readily available system to