AI Article Synopsis
- An 18-month-old girl had a persistent arterial duct measured at 4.5 mm, which was treated with a transcatheter occlusion using a 17 mm Rashkind umbrella and an occluding spring coil.
- Severe intravascular hemolysis occurred 20 hours post-procedure, along with a significant residual ductal leakage that measured 6 mm.
- The hemolysis was resolved within 48 hours using a novel method of antegrade transcatheter closure of the residual duct with multiple spring coils.
Article Abstract
An 18 month old girl with an angiographically measured ductus of 4.5 mm underwent transcatheter occlusion of the persistent arterial duct with a 17 mm Rashkind umbrella and an occluding spring coil. Severe intravascular haemolysis developed 20 hours later. Significant residual ductal leakage was noted and the residual duct measured 6 mm. Previous underestimation might have been related to ductal spasm as a catheter was placed across the duct before angiography. The haemolysis was abolished within 48 hours by a previously unreported approach of antegrade transcatheter closure of the residual duct by multiple spring coils.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC484773 | PMC |
| http://dx.doi.org/10.1136/hrt.77.5.477 | DOI Listing |
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