Percutaneous closure of patent ductus arteriosus: complementary use of detachable Cook patent ductus arteriosus coils and Amplatzer duct occluders

Several different devices were evaluated for the percutaneous closure of pa tent ductus arteriosus (PDA), and important drawbacks were found in all of them. To overcome these drawbacks, both detachable Cook PDA coils and Ampla tzer duct occluders (ADO) were used for the percutaneous closure of PDA. A total of 54 patients underwent transcatheter occlusion of PDA at a median a ge of 4.5 years (range 0.5-29 years) and at a median weight of 19.5 kg (ran ge 6-69 kg). Three patients were adults. Detachable Cook PDA coils were use d in 26 patients with a median PDA diameter of 1.7 mm (range 1.1-2.2 mm) an d ADO were used in 28 patients with a median PDA diameter of 3.8 mm (range 1.9-7.5 mm). Devices were successfully implanted in all 54 patients. Comple te closure was achieved in 53 of 54 patients (98% closure rate). Median flu oroscopy time was 12 min (range 4-47 min). Conclusion According to our experience, the complementary use of detachable Cook patent ductus arteriosus coils and Amplatzer duct occluders for the p ercutaneous closure of PDA can be recommended.