BACKGROUND: A comparison of transvascular occlusion methods for closing patent ductus arteriosus (PDA) in dogs has not been done. OBJECTIVES: To determine if clinically important differences exist between the approaches and devices currently used. ANIMALS: A total of 112 client-owned dogs with left-to-right shunting PDA. METHODS: Retrospective study. Records from dogs that underwent attempted transvascular PDA occlusion from January 2006 to December 2009 were examined. Dogs were placed into 4 groups: Group 1: Amplatz Canine Duct Occluder (ACDO) (transarterial) - 36 dogs; Group 2: Gianturco or MReye Flipper Detachable Embolization (Flipper) coil (transarterial) - 38 dogs; Group 3: Amplatzer Vascular Plug (AVP) (transarterial) - 23 dogs; Group 4: Flipper coil (transvenous) - 15 dogs. RESULTS: The overall success rate of the procedures was high (92%) with comparable success rates among groups (87-97%). There were significantly fewer complications (P < .0001) in dogs receiving an ACDO than in the remaining groups (3% for ACDO versus 26-33% for the other groups). Fluoroscopy time for the transvenous method was significantly longer (median, 13 minutes) than for the other groups (median, 6 minutes) (P < .0001). Severity of residual flow 24 hours postprocedure was significantly less in the ACDO group than in the remaining groups (P = .0001-.05). CONCLUSIONS: The ACDO appears superior in ease of use, complication rate, and completeness of occlusion. The remaining limiting factor with this device is patient size. Until a smaller ACDO device is marketed, coils remain the only choice for interventional closure in very small dogs.
BACKGROUND: A comparison of transvascular occlusion methods for closing patent ductus arteriosus (PDA) in dogs has not been done. OBJECTIVES: To determine if clinically important differences exist between the approaches and devices currently used. ANIMALS: A total of 112 client-owned dogs with left-to-right shunting PDA. METHODS: Retrospective study. Records from dogs that underwent attempted transvascular PDA occlusion from January 2006 to December 2009 were examined. Dogs were placed into 4 groups: Group 1: Amplatz Canine Duct Occluder (ACDO) (transarterial) - 36 dogs; Group 2: Gianturco or MReye Flipper Detachable Embolization (Flipper) coil (transarterial) - 38 dogs; Group 3: Amplatzer Vascular Plug (AVP) (transarterial) - 23 dogs; Group 4: Flipper coil (transvenous) - 15 dogs. RESULTS: The overall success rate of the procedures was high (92%) with comparable success rates among groups (87-97%). There were significantly fewer complications (P < .0001) in dogs receiving an ACDO than in the remaining groups (3% for ACDO versus 26-33% for the other groups). Fluoroscopy time for the transvenous method was significantly longer (median, 13 minutes) than for the other groups (median, 6 minutes) (P < .0001). Severity of residual flow 24 hours postprocedure was significantly less in the ACDO group than in the remaining groups (P = .0001-.05). CONCLUSIONS: The ACDO appears superior in ease of use, complication rate, and completeness of occlusion. The remaining limiting factor with this device is patient size. Until a smaller ACDO device is marketed, coils remain the only choice for interventional closure in very small dogs.
Authors: Mark A Wierzbicki; Sarah B Raines; Sonya G Gordon; John C Criscione; Ashley B Saunders; Scott Birch; Bradley Due; Brandis Keller; Landon D Nash; Matthew W Miller; Duncan J Maitland Journal: J Mech Behav Biomed Mater Date: 2017-07-25
Authors: Diego Piantedosi; Alfonso Piscitelli; Angela De Rosa; Blanca Serrano Lopez; Marta Claretti; Elisabetta Boz; Laura Mazzoni; Iolanda Navalon Calvo; Paolo Ciaramella; Claudio Bussadori Journal: PLoS One Date: 2019-10-09 Impact factor: 3.240