We describe a novel method that allows bioptome-assisted delivery of multiple Gianturco coils simultaneously for occlusion of the large @entity2461 ( @entity2461 ). Two or more coils were intertwined at one end and held by a bioptome (5.2 Fr) and pulled into a short introducer. The coils were then deployed in the @entity2461 via a long sheath (7-11 Fr) previously placed across the duct via the femoral vein. Twelve @entity1 (6 months to 64 years; median, 10.5 years) with large PDAs (4.7 +/- 1.3 mm; range, 3.1-8.4 mm; PA mean pressure, 40 +/- 17 mm Hg; pulse pressure 63 +/- 18 mm Hg) underwent bioptome-assisted occlusion with multiple coils at our institutions. The procedure was uneventful in nine @entity1 (fluoroscopy time, 6-23 min) and prolonged in three @entity1 (fluoroscopy time, 26, 72, and 120 min) because of dislodgment of the coil mass and embolization of an additional coil. Successful coil deployment was feasible in all @entity1 . Three @entity1 required repeat coil deployment for flow elimination ( @entity2142 occurred in two). Flow elimination was demonstrated on the last follow-up evaluation in all except two @entity1 . One @entity1 has developed significant left @entity849 . Bioptome-assisted @entity2461 occlusion using multiple coils delivered simultaneously may be a promising alternative to devices for transcatheter closure of large PDAs. Cathet Cardiovasc Intervent 2001;54:95-100.

Bioptome-assisted simultaneous delivery of multiple coils for occlusion of the large XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'infant'] @entity2142 :: ('MESH:D006461', 'Disease') :: ['hemolysis'] @entity849 :: ('MESH:D011666', 'Disease') :: ['pulmonary artery stenosis'] @entity2461 :: ('MESH:D004374', 'Disease') :: ['PDA', 'patent ductus arteriosus']
@entity2461 :: (MESH:D004374,Disease) :: ['patent ductus arteriosus']
