Hemolysis complicating coil occlusion of patent ductus arteriosus

Hideshi Tomita, Shigeto Fuse, Teiji Akagi, Yasutoshi Matsumoto, Yasuo Murakami, Hisayuki Shiraya, Kazuyuki Koike, Masahiro Kamada, Tetsuro Kamiya, Kazuo Momma, Akira Ishizawa, Shunzo Chiba

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)50-53
Number of pages4
JournalCatheterization and Cardiovascular Diagnosis
Volume43
Issue number1
DOIs
Publication statusPublished - Jan 1998
Externally publishedYes

Keywords

  • Coil occlusion
  • Complication
  • Hemolysis
  • Patent ductus arteriosus

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Tomita, H., Fuse, S., Akagi, T., Matsumoto, Y., Murakami, Y., Shiraya, H., Koike, K., Kamada, M., Kamiya, T., Momma, K., Ishizawa, A., & Chiba, S. (1998). Hemolysis complicating coil occlusion of patent ductus arteriosus. Catheterization and Cardiovascular Diagnosis, 43(1), 50-53. https://doi.org/10.1002/(SICI)1097-0304(199801)43:1<50::AID-CCD14>3.0.CO;2-X