Transvenous occlusion of patent ductus arteriosus in 56 consecutive dogs
β Scribed by Julie E. Blossom; Janice M. Bright; Leigh G. Griffiths
- Publisher
- Elsevier Science
- Year
- 2010
- Tongue
- English
- Weight
- 400 KB
- Volume
- 12
- Category
- Article
- ISSN
- 1760-2734
No coin nor oath required. For personal study only.
β¦ Synopsis
Objective: Document safety and efficacy of transvenous catheter occlusion of patent ductus arteriosus (PDA) over a wide range of ductal and patient sizes. Animals, materials and methods: Retrospective study of fifty-six consecutive dogs referred to Colorado State University with diagnosis of PDA. All cases utilized the transvenous approach, via the femoral vein. Occlusion was achieved using a coil (FlipperΓ€) in dogs with PDA minimal dimension of 4 mm. Amplatzer Γ duct occluder or Amplatzer Γ vascular plugs were used in dogs with PDA minimal dimension >4 mm, or if a coil was unstable following deployment. Results: Ductal occlusion was achieved using the transvenous route alone in 54/56 dogs (96.4%). Occlusion was achieved using detachable FlipperΓ€ coils in 39/42 dogs (92.9%) in which coil occlusion was attempted, with 38/39 dogs (97.4%) requiring only a single coil. In 16 dogs, occlusion was achieved using an Amplatzer Γ duct occluder or vascular plug. Post-procedure residual ductal flow was absent or only mild in 36/39 (92.3%) dogs in which it was assessed. Procedural mortality rate was 1.7%, and major complication rate 7.0%. Conclusion: Transcatheter occlusion via a transvenous approach is a safe and effective method for treating PDA in dogs and is useful for small dogs (<2.5 kg).
π SIMILAR VOLUMES
A 4-month-old, intact female mixed-breed dog presented to the Purdue University Veterinary Teaching Hospital for evaluation of a cardiac murmur. A large left-to-right patent ductus arteriosus (PDA) was diagnosed and interventional correction was achieved with a commercially available peripheral vasc
asymptomatic patients were identified with hypoplasia of the aortic isthmus at the time of cardiac catheterization for closure of a small patent ductus arteriosus. lsthmal diameters measured from lateral aortograms were 62 -t 11% of age-matched controls. All patients had a small communication occlud
Coexisting aortopulmonary collaterals in patients diagnosed with a patent ductus arteriosus (PDA) are rare findings. Percutaneous transcatheter closure of PDA and requisite aortography offer an unique opportunity to identify and treat these systemic arterial anomalies, which would be missed by echoc