TY - JOUR
T1 - Hemolysis complicating coil occlusion of patent ductus arteriosus
AU - Tomita, Hideshi
AU - Fuse, Shigeto
AU - Akagi, Teiji
AU - Matsumoto, Yasutoshi
AU - Murakami, Yasuo
AU - Shiraya, Hisayuki
AU - Koike, Kazuyuki
AU - Kamada, Masahiro
AU - Kamiya, Tetsuro
AU - Momma, Kazuo
AU - Ishizawa, Akira
AU - Chiba, Shunzo
PY - 1998/1
Y1 - 1998/1
N2 - We report on 5 patients who developed hemolysis (the Hemolysis group) following coil occlusion for PDA, and compare their data to 66 cases which were not complicated by hemolysis despite residual leak (the No Hemolysis group). A significant leak with a heart murmur was more frequent in the Hemolysis group than In the No Hemolysis group. The ratio of the sum of the loop diameter of coils to the minimal diameter of the ductus (C/D) in those who developed persistent hemolysis that needed a second intervention (2.2 ± 0.4) was significantly smaller than in the No Hemolysis group (3.1 ± 1.1). Persistent hemolysis can occur if a significant residual shunt remains after implantation of coils with small C/D. As this complication may be avoided by complete closure or, if not complete, a minimal leak, we should be careful to make residual leaks as small as possible by the use of multiple coils.
AB - We report on 5 patients who developed hemolysis (the Hemolysis group) following coil occlusion for PDA, and compare their data to 66 cases which were not complicated by hemolysis despite residual leak (the No Hemolysis group). A significant leak with a heart murmur was more frequent in the Hemolysis group than In the No Hemolysis group. The ratio of the sum of the loop diameter of coils to the minimal diameter of the ductus (C/D) in those who developed persistent hemolysis that needed a second intervention (2.2 ± 0.4) was significantly smaller than in the No Hemolysis group (3.1 ± 1.1). Persistent hemolysis can occur if a significant residual shunt remains after implantation of coils with small C/D. As this complication may be avoided by complete closure or, if not complete, a minimal leak, we should be careful to make residual leaks as small as possible by the use of multiple coils.
KW - Coil occlusion
KW - Complication
KW - Hemolysis
KW - Patent ductus arteriosus
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U2 - 10.1002/(SICI)1097-0304(199801)43:1<50::AID-CCD14>3.0.CO;2-X
DO - 10.1002/(SICI)1097-0304(199801)43:1<50::AID-CCD14>3.0.CO;2-X
M3 - Article
C2 - 9473189
AN - SCOPUS:0031962651
SN - 1522-1946
VL - 43
SP - 50
EP - 53
JO - Catheterization and Cardiovascular Interventions
JF - Catheterization and Cardiovascular Interventions
IS - 1
ER -