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.
|Number of pages||4|
|Journal||Catheterization and Cardiovascular Diagnosis|
|Publication status||Published - Jan 1998|
- Coil occlusion
- Patent ductus arteriosus
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine