Munayer CJ, Aldana PT, San LMR, Maza JG, Lázaro CJL, Ramírez RH, Roberto QL, Arias ML, Campos GA

Language: Spanish
References: 6
Page: 403-406
PDF size: 187.72 Kb.

ABSTRACT

We present the initial experience of closing of patent ductus arteriosus (PDA) with a new device; Gianturco-Grifka, at the General Hospital of The Medical Center “La Raza”. The patient was a 4 year’s old girl, in whom we detected continuous murmur in the second intercostal space, echocardiography showed a long conical patent ductus arteriosus 4.9 mm of diameter, systolic pressure of the pulmonary artery was 35 mm Hg with QP/QS 1.6:1. Hemodynamic study revealed a long conical ductus arteriosus 5 mm of diameter, type A1 from Krichenko classification. We proceeded to occlude the PDA with a Gianturco-Grifka device of 7 mm. Immediately after the PDA occlusion the shunt disappeared, there were no complications during the procedure. More cases are needed to determine long term benefits and limitations, of this procedure. However we conclude that technically it is easy to use. There is greater decrease of residual shunt that the one reported with other devices.

REFERENCES

1. Ali Khan MA, Yousef S, Mullins CE, Sawyer W: Experience with 205 procedures of transcatheter closure of ductus arteriosus in 182 patients, with special reference to residual shunts and long-term follow up. J Thorac Cardiovasc Surg 1992; 104(6): 1721-7.

2. Lloyd TR, Fedderly R, Mendelsohn AM, Sandhu SK, Beekman RH: Transcatheter occlusion of patent ductus arteriosus with Gianturco coils. Circulation 1993; 88(4): 1412-20.

3. Masura J, Walsh KP, Thanopouolous B, Chan C, Bass J, Goussous Y, et al: Catheter closure of moderate to large-sized patent ductus arteriosus using the new Amplatzer duct occluder immediate and short-term results. J Am Coll Cardiol 1998; 31(4): 878-82.

4. Grifka RG, Mullins CE, Gianturco C, Nihill MR, O’Laughlin MP, Slack MC, et al: New Gianturco-Grifka vascular occlusion device. Initial studies in a canino model. Circulation 1995; 91(6): 1840-6.

5. Krichenko A, Benson LN, Burrows P, Möes CA, McLaughlin P, Freedom RM: Angiographic classification of the isolated, persistently patent ductus arteriosus and implications for percutaneous catheter oclusion. Am J Cardiol 1989; 63(12): 877-80.

6. Grifka RG, Vincent JA, Nihill MR, Ing FF, Mullins CE: Transcatheter patent ductus arteriosus closure in an infant using the Gianturco-Grifka Vascular Occlusion Device. Am J Cardiol 1996; 78(6): 721-3.