https://scholars.lib.ntu.edu.tw/handle/123456789/194852
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor | 小兒科 | en |
dc.contributor.author | WANG, JOU-KOU | en |
dc.contributor.author | HWANG, JUEY-JEN | en |
dc.contributor.author | CHIANG, FU-TIEN | en |
dc.contributor.author | WU, MEI-HWAN | en |
dc.contributor.author | LIN, MING-TAI | en |
dc.contributor.author | LEE, WEN-LEEH | en |
dc.contributor.author | LUE, HUNG-CHI | en |
dc.creator | 王主科;黃瑞仁;江福田;吳美環;林銘泰;李紋麗;呂鴻基 | zh-tw |
dc.creator | WANG, JOU-KOU;HWANG, JUEY-JEN;CHIANG, FU-TIEN;WU, MEI-HWAN;LIN, MING-TAI;LEE, WEN-LEEH;LUE, HUNG-CHI | en |
dc.date | 2006 | en |
dc.date.accessioned | 2008-12-22T03:18:47Z | - |
dc.date.accessioned | 2018-07-11T17:54:16Z | - |
dc.date.available | 2008-12-22T03:18:47Z | - |
dc.date.available | 2018-07-11T17:54:16Z | - |
dc.date.issued | 2006 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/92608 | - |
dc.description.abstract | OBJECTIVE: To investigate the effectiveness of the strategy of transcatheter occlusion with the Gianturco coil for small -to-moderate sized ductus and with Amplatzer duct occluder ( ADO) for large ductus. PATIENT AND METHODS: For ductus closure, the following strategy was applied: ADO was used in large ductus: infants and young children weighing < 15 kg with a ductus diameter > or = 3 mm and in older children or adults with a ductus diameter > or = 4 mm and coils were employed in patients with small-to-moderate sized ductus. During a 3-year period, this strategy was applied in 136 patients. The results were compared between 214 patients ( group I) undergoing ductus closure using only coil before application of this strategy and strategic closure in 136 patients (group II). Each group was divided into 2 subgroups : subgroup A with large ductus and subgroup B with small-to- moderate ductus. There were 54 patients in subgroup IA, 160 in subgroup IB, 33 in subgroup IIA and 103 in subgroup IIB, respectively. RESULTS: In group I, PDA occlusion was successful in 207 (96.7%) and failed in 7 (6 of group IA and 1 of group IB ). In group II, ductus closure was successful in 134 patients (98.5%) (32/ 33 with ADO and 102/103 with coils).There was no significant difference in success rate between group I and II. Distal embolization occurred in 19 patients of group I and in 2 of group II, respectively (19/ 214 vs. 2/136, P < 0.01). There was no significant difference in success rate between group IA and IIA but the distal embolization rate was higher in group IA than IIA (13 /54 vs. 1/33, P=0.014). Left pulmonary artery stenosis was found exclusively in 9 patients of group I at the 6-month follow-up (P < 0 .05). Nine patients in group I required second intervention to achieve complete occlusion. CONCLUSIONS: The strategy of ductus closure worked well by reducing embolization rate, incidence of left pulmonary artery stenosis and the need of second intervention. | en |
dc.language | en-us | en |
dc.language.iso | en_US | - |
dc.relation | INTERNATIONAL JOURNAL OF CARDIOLOGY v.106 n.1 pp.10-15 | en |
dc.relation.ispartof | INTERNATIONAL JOURNAL OF CARDIOLOGY | - |
dc.subject | patent ductus arteriosus | en |
dc.subject | transcatheter closure | en |
dc.subject | Chi-Square Distribution | en |
dc.subject | Gianturco coil | en |
dc.subject | Amplatzer duct occluder | en |
dc.subject | Comparative Study | en |
dc.title | A Strategic Approach to Transcatheter Closure of Patent Ductus: Gianturco Coils for Small-to-Moderate Ductus and Amplatzer Duct Occluder for Large Ductus | en |
dc.type | journal article | en |
dc.relation.pages | 10-15 | - |
dc.relation.journalvolume | v.106 | - |
dc.relation.journalissue | n.1 | - |
item.fulltext | no fulltext | - |
item.cerifentitytype | Publications | - |
item.openairetype | journal article | - |
item.languageiso639-1 | en_US | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.grantfulltext | none | - |
顯示於: | 醫學系 |
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