Early implantation of multiple spring coils for severe haemolysis after incomplete transcatheter occlusion of persistent arterial duct.
case_report · Level V
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- Record sourced from PubMed, PMID 9196421.
- Also identified by PMC identifier 484773.
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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.
Medical subject headings
- Ductus Arteriosus, Patent
- Hemolysis
- Postoperative Complications
- Prostheses and Implants