Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
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Use of an Amplatzer Vascular Plug to occlude a tubular type of patent ductus arteriosus

원통형 모양 동맥관의 경피적 폐쇄술에서의 Amplatzer Vascular Plug 의 사용

  • Choi, Eun-Young (Department of Pediatrics, Sejong General Hospital) ;
  • Jang, So-Ick (Department of Pediatrics, Sejong General Hospital) ;
  • Kim, Soo-Jin (Department of Pediatrics, Sejong General Hospital)
  • 최은영 (부천세종병원 소아청소년과) ;
  • 장소익 (부천세종병원 소아청소년과) ;
  • 김수진 (부천세종병원 소아청소년과)
  • Received : 2009.05.25
  • Accepted : 2009.08.11
  • Published : 2009.09.15
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Abstract

Patent ductus arteriosus (PDA) is a common congenital heart defect. All PDAs, regardless of size or degree of symptoms, require occlusion. Transcatheter PDA occlusion features fewer complications than trans-thoracic closure. It is also more cost-effective and has an excellent occlusion rate. Therefore, transcatheter PDA occlusion is accepted as the standard treatment option for PDA. However, tubular-type PDAs are difficult to close with ordinary detachable coils or the Amplatzer Duct Occluder; thus, these lesions remain a challenge for transcatheter closure. We attempted to occlude a tubular-type PDA by using an oversized Amplatzer Vascular Plug, which allowed intraluminal packing of the ductus. By using this treatment method, PDA occlusion was achieved safely with an excellent final outcome. We suggest that this approach may be a good option for transcatheter closure of a tubular-type PDA.

동맥관 개존증은 선천성 심질환 중 비교적 흔한 질환이며, 크기나 중등도에 상관없이 폐쇄가 필요한 질환이다. 경피적 동맥관 폐쇄술은 개흉술에 비하여 합병증의 위험이 적고 경제적으로도 바람직하며, 치료 성적도 우수하여 최근에는 표준적인 치료법으로 받아들여지고 있다. 하지만 원통형 모양의 동맥관 개존증은 흔히 사용하는 분리형 코일이나 ADO로 시술하기에는 여러 가지로 어려운 점이 많다. 저자들은 이러한 형태의 동맥관을 폐쇄하기 위하여 일반적으로 추천되는 것보다 큰 크기의 AVP를 이용하여 원통형 동맥관이 메워지도록 하는 방법을 이용함으로써, 성공적인 동맥관 개존증 폐쇄술을 시행하였기에 이를 보고하는 바이다.

Keywords

References

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