{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T19:18:57Z","timestamp":1761765537940},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[1993,9]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND<\/jats:title>\n            <jats:p>Several devices are available for transcatheter occlusion of patent ductus arteriosus. Most of these devices either require complicated intracardiac maneuvering, have not been tried in humans, or need a large-sized sheath for implantation of the device.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS AND RESULTS<\/jats:title>\n            <jats:p>During a 26-month period ending November 1992, 14 patients underwent transcatheter closure of patent ductus arteriosus with an adjustable buttoned device delivered via a 7F sheath under an institutional review board-approved custom-made device protocol. The children were 15 months to 8 years of age with weight range of 7.2 to 19 kg. The patent ductus arteriosus measured from 2 to 7.5 mm (median, 3 mm) at the narrowest diameter and was conical, short, or tubular. They were occluded with devices measuring 15 to 20 mm. The ratio of pulmonary to systemic flow decreased (P &lt; .01) from 1.9 +\/- 0.6 (mean +\/- SD; range, 1.3 to 3.2) to 1.05 +\/- 0.1 (1 to 1.3). Continuous murmur of patent ductus arteriosus disappeared in all except 1 patient. Small residual shunts were detected by color Doppler studies in 4 of 14 patients (29%). All patients were followed for 1 to 24 months (mean, 6 +\/- 7 months). The device was intact in all patients, and no breakage of the wires was noted. No shunts were seen in 12 of 14 patients (86%), and minute residual shunts were seen in 2 children. No major complications were encountered.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS<\/jats:title>\n            <jats:p>It is concluded that transcatheter closure of patent ductus arteriosus with the adjustable buttoned device is feasible and effective and can be accomplished via small 7F sheaths; a 7F sheath is adequate for all ductal sizes; and the adjustable length of the loop accommodated all types of patent ductus arteriosus. Clinical trials on a larger number of patients are warranted.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/01.cir.88.3.1119","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T00:01:09Z","timestamp":1339459269000},"page":"1119-1126","update-policy":"http:\/\/dx.doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":92,"title":["Transcatheter occlusion of patent ductus arteriosus with adjustable buttoned device. Initial clinical experience."],"prefix":"10.1161","volume":"88","author":[{"given":"P S","family":"Rao","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Wisconsin Medical School, Madison."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E B","family":"Sideris","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Wisconsin Medical School, Madison."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Haddad","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Wisconsin Medical School, Madison."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Rey","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Wisconsin Medical School, Madison."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Hausdorf","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Wisconsin Medical School, Madison."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A D","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Wisconsin Medical School, Madison."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P A","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Wisconsin Medical School, Madison."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P S","family":"Chopra","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Wisconsin Medical School, Madison."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/pdf\/10.1161\/01.CIR.88.3.1119","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,12]],"date-time":"2024-05-12T15:49:30Z","timestamp":1715528970000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/01.CIR.88.3.1119"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,9]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1993,9]]}},"alternative-id":["10.1161\/01.CIR.88.3.1119"],"URL":"https:\/\/doi.org\/10.1161\/01.cir.88.3.1119","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,9]]},"assertion":[{"value":"1993-09-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}