Key result
Simultaneous delivery of dual Rashkind umbrellas successfully closes a 13 mm PDA without residual shunt.
Why the study?
Transcatheter closure of persistent ductus arteriosus with diameter >9 mm is considered difficult or impossible with current occlusion systems.
Can an oversized persistent ductus arteriosus be successfully closed using simultaneous delivery of two Rashkind umbrella devices?
Case Report (n=1)
Can an oversized persistent ductus arteriosus be successfully closed using simultaneous delivery of two Rashkind umbrella devices?
Simultaneous delivery of two Rashkind umbrella devices is a feasible technique for transcatheter closure of oversized persistent ductus arteriosus.
Supports feasibility of dual Rashkind devices for large adult PDA; leaves open need for prospective safety and efficacy data.
Transcatheter closure of persistent ductus arteriosus (PDA) with a diameter of >9 mm is considered to be impossible or at least difficult with the occlusion systems that are currently available. We report a simple technique for occluding oversized PDAs with two Rashkind umbrellas introduced simultaneously. Using this technique, a large PDA with a diameter of 13 mm was successfully occluded in a 40‐year‐old man. Complete closure without residual shunt was documented by echocardiogram and angiogram.
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Sievert et al. (1995) conducted a case report in Oversized persistent ductus arteriosus (n=1). Simultaneous delivery of two Rashkind umbrella devices was evaluated on Complete closure without residual shunt. Simultaneous delivery of two Rashkind umbrella devices successfully occluded a large 13 mm persistent ductus arteriosus in a 40-year-old man, achieving complete closure without residual shunt.
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