TRANSCATHETER CLOSURE OF OVERSIZED PERSISTENT DUCTUS-ARTERIOSUS BY SIMULTANEOUS DELIVERY OF 2 RASHKIND UMBRELLA DEVICES

Transcatheter closure of persistent ductus arteriosus (PDA) with a dia meter of >9 mm is considered to be impossible or at least difficult wi th the occlusion systems that are currently available. We report a sim ple technique for occluding oversized PDAs with two Rashkind umbrellas introduced simultaneously, Using this technique, a large PDA with a d iameter of 13 mm was successfully occluded in a 40-year-old man. Compl ete closure without residual shunt was documented by echocardiogram an d angiogram. (C) 1995 Wiley-Liss, Inc.