Transcatheter closure of residual ductus arteriosus with gianturco coils after implantation of rashkind occluder device

ABSTRACT

Nonsurgical closure of patent ductus arteriosus [PDA] can be performed using different devices. This study was undertaken to evaluate the use of Gianturco coil to close a leaking Rashkind PDA device. Queen Alia Heart Institute [QAHI], a tertiary cardiac center, Jordan. Out of 53 cases of Rashkind PDA closure performed at QAHI, four patients had a residual leak, which was closed with Gianturco coils. Their ages ranged from 1.8-17 years. The leak was diagnosed by 2D- colour Doppler echocardiography. All patients underwent an attempt to reclose the PDA leak using Gianturco coils of different sizes. Follow ups 3 months later showed an absence of any residual leak across the ductus arteriosus. The use of Gianturco coils for closing residual Rashkind PDA leaks can be performed successfully and safely, with a lower potential for left pulmonary artery stenosis and aortic isthmic narrowing, and it is cost effective