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Artigo Acesso aberto Produção Nacional Revisado por pares
BIBTEX RIS

Experiência global no fechamento percutâneo do canal arterial

1998; Sociedade Brasileira de Cardiologia (SBC); Volume: 71; Issue: 6 Linguagem: Inglês

10.1590/s0066-782x1998001200006

ISSN

1678-4170

Autores

Carlos Augusto Cardoso Pedra, Simone R. F. Fontes Pedra, César Esteves, Sérgio Braga, Maria Aparecida Paula Silva, Tarcisio Almeida, Maria Virgínia Tavares Santana, J. Eduardo Sousa, Valmir F. Fontes,

Tópico(s)

Cardiac Arrhythmias and Treatments

Resumo

To evaluate the overall experience of our institution with percutaneous occlusion of the patent ductus arteriosus.Since December/92, 150 patients underwent 178 procedures (85-Rashkind technique; 87-Gianturco coils; 6-Duct Occlud). Median age was 6.5 years (1 to 57). Mean minimum ductal diameter was 3.05 +/- 1.24 mm (1 to 8). Clinical and echocardiographic evaluations were performed periodically.Adequate implantation was achieved in 143 (95.3%) patients. Prevalence of immediate residual shunting was 52.1%, falling to 15.9% during follow-up. This figure decreased to 5.2% after new additional procedures. Umbrella and coil embolization occurred in 1 and 12 procedures, respectively. Hemolysis and mild stenosis of left pulmonary artery were observed in one patient each. There was no mortality.This therapeutic modality is safe and efficacious with good follow-up results.

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