Transcatheter Closure of Moderate-to-Large Patent Ductus Arteriosus in Infants Using Amplatzer Duct Occluder
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- Wang Jou-Kou
- Department of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University
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- Wu Mei-Hwan
- Department of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University
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- Lin Ming-Tai
- Department of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University
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- Chiu Shuenn-Nan
- Department of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University
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- Chen Chun-An
- Department of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University
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- Chiu Hsin-Hui
- Department of Pediatrics, National Taiwan University Hospital, College of Medicine, National Taiwan University
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Background: There are difficulties in transcatheter closure of patent ductus arteriosus (PDA) in infants. Methods and Results: The 46 infants (mean age 6.2±2.7 months; mean body weight 6.3±1.6 kg) who underwent PDA closure using the Amplatzer duct occluder (ADO). The indication for using an ADO was a ductus diameter ≥2.5 or 3 mm. Device diameter selected was 1-3 mm larger than ductal diameter. The mean systolic pulmonary artery pressure was 40.9±18.2 mmHg. The mean Qp/Qs ratio was 3.1±1.2. The mean ductus diameter was 3.3±0.8 mm. ADO was successfully deployed in 45 patients. Failure occurred in 1 case. The mean diameter of device used was 5.4±1.1 mm. No severe complications occurred. At the 1-month echocardiographic follow-up, a small residual shunt was present in 4 of 45 patients and had disappeared in all 4 patients at the 3-month follow-up. One patient developed a moderate degree of left ventricular outflow tract obstruction 2.3 years after the procedure. Conclusions: Transcatheter closure of PDA in infants using the ADO is a safe and effective method. (Circ J 2010; 74: 361-364)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 74 (2), 361-364, 2010
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390001205105596160
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- NII論文ID
- 10025942750
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- NII書誌ID
- AA11591968
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- COI
- 1:STN:280:DC%2BC3c%2Fkt1aqtw%3D%3D
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- ISSN
- 13474820
- 13469843
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- PubMed
- 20032563
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- PubMed
- CiNii Articles
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- 使用不可