What question did this study set out to answer?

To evaluate the safety, efficacy, and determinants of suboptimal outcomes for transcatheter coil occlusion of the persistent arterial duct using data from the European registry.

October 1, 2001European Heart JournalOpen Access

Transcatheter coil occlusion of the arterial duct. Results of the European Registry

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To evaluate the safety, efficacy, and determinants of suboptimal outcomes for transcatheter coil occlusion of the persistent arterial duct using data from the European registry.
Retrospective intention-to-treat study of data from 30 European and Middle Eastern tertiary referral centres collected by the Association for European Paediatric Cardiology (AEPC) Registry since 1994.
Evaluated 1,291 attempted coil occlusion procedures in 1,258 patients (median age 4 years, range 0.1–52; median weight 29 kg, range 1.8–100).
Immediate duct occlusion occurred in 59% of procedures, increasing to 95% at 1 year of follow-up.
Suboptimal outcomes occurred in 10% of procedures (129 instances), encompassing coil embolization, abandoned procedures, persistent haemolysis, residual leaks requiring re-intervention, adjacent vessel flow impairment, and recanalization.
Unfavourable outcomes were significantly associated with increasing duct size (odds ratio 2.6:1, 95% CI 2–3.2) and tubular duct geometry (odds ratio 2.4:1, 95% CI 1.4–4).

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Implication

Registry study reports high long-term closure rates following transcatheter coil occlusion in patients with persistent arterial ducts, indicating larger or tubular ducts increase complication risks.

Cite This Study

Alan Magee (2001) studied this question.

synapsesocial.com/papers/6a851f360b777c8ef09646f6 https://doi.org/10.1053/euhj.2001.2605

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Implication

Registry study reports high long-term closure rates following transcatheter coil occlusion in patients with persistent arterial ducts, indicating larger or tubular ducts increase complication risks.

Transcatheter coil occlusion of the arterial duct. Results of the European Registry

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Discussion

Implication

Cite This Study

Transcatheter coil occlusion of the arterial duct. Results of the European Registry

Key Points

Discussion

Implication

Cite This Study

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