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Original Article
Critical Care Medicine
Can central venous access device care bundles and regular feedback reduce central line-associated complications in pediatric patients?
Chanapai Chaiyakulsil, Onsuthi Pharadornuwat
Clin Exp Pediatr. 2021;64(3):123-129.   Published online July 14, 2020
Question: Can central line bundles and feedback reduce central line-associated complications in pediatric patients?
Finding: The central line-related bloodstream infection rate decreased from 10.0 catheter-days to 1.4/1,000 catheter-days at 6-month postintervention. The central line occlusion rate was also decreased.
Meaning: Reinforcing central line care bundles with direct feedback can significantly decrease central line-associated complications in pediatric patients.
Surgical outcome of severe pulmonary arterial hypertension secondary to left-to-right shunt lesions
Cha Gon Lee, Su In Jeong, June Huh, I-Seok Kang, Heung Jae Lee, Ji-Hyuk Yang, Tae Gook Jun
Clin Exp Pediatr. 2010;53(2):195-202.   Published online February 15, 2010
Purpose : Despite recent advances in pulmonary hypertension management and surgery, appropriate guidelines remain to be developed for operability in congenital heart disease with pulmonary artery hypertension (PAH). Our aim was to evaluate clinical outcomes of patients with severe PAH who underwent surgical closure of left-to-right shunt lesions (LRSL) on the basis of pulmonary reactivity. Methods : We retrospectively reviewed 21...
Impact of Device Evolution in Transcatheter Closure of Patent Ductus Arteriosus Using Duct-Occlud Coils : Comparison of Mid-term Results
Myung Kwan Kim, Dong Ki Han, Jae Young Choi, Yuria Kim, Byung Won Yoo, Deok Young Choi, Jun Hee Sul, Sung Kue Lee
Clin Exp Pediatr. 2005;48(2):158-164.   Published online February 15, 2005
Purpose : We reviewed the therapeutic results of various Duct-Occlud coils(pfm AG, K ln, Germany) to evaluate the efficacy of the most-recently modified Duct-Occlud coil(Nit-Occlud) in the transcatheter closure of patent ductus arteriosus(PDA), including large defects more than 4 mm in diameter. Methods : Two hundred and five patients who underwent percutaneous PDA occlusion using Duct- Occlud devices from March...
Mid-term Result of the Transcatheter Occlusion of Patent Ductus Arteriosus with Duct-Occlud Device and Procedure-Related Problems
Yuria Kim, Jae Young Choi, Jong Kyun Lee, Jun Hee Sul, Sung Kyu Lee, Young Hwan Park, Bum Koo Cho
Clin Exp Pediatr. 2004;47(1):36-43.   Published online January 15, 2004
Purpose : We will present our mid-term result of transcatheter closure of PDA with Duct-Occlud device(pfm. AG. Germany) after 12 months follow up and report the problems during the procedure. Methods : In total 154 patients, the Duct-Occlud devices were inserted in our institute from March, 1996 to August, 2002. Three types of Duct-Occlud device, i.e standard, reinforced, reinforced reverse cone...
Case Report
Thrombolytic Therapy and Long Term Follow-up Study in a Child with Kawasaki Disease Complicated by Giant Coronary Aneurysm with Thrombosis
Su Jung Moon, Su Ya Lee, Kyong Hee Na, Sun Young Park, Eun Young Kim, Kyoung Sim Kim, Yong Wook Kim
Clin Exp Pediatr. 2003;46(3):302-307.   Published online March 15, 2003
The long-term clinical issues in Kawasaki disease are concerned with the coronary artery lesions that result in aneurysmal formation, thrombotic occlusion, progression to ischemic heart disease, and premature atherosclerosis. We here report a 3 month old infant with Kawasaki disease complicated by giant coronary aneurysm with thrombosis. After urokinase(10,000 IU/kg) and heparin(400 IU/kg) were injected for two days as thrombolytic...
Three Cases of Hemolysis After Transcatheter Closure of A Patent Ductus Arteriosus
Sang-Bum Lee, Myung Chul Hyun
Clin Exp Pediatr. 2000;43(10):1399-1403.   Published online October 15, 2000
Severe hemolysis occurred after transcatheter occlusion of a patent ductus arteriosus in 3 patients among 41 patients who underwent transcatheter occlusion of a patent ductus arteriosus. The problems were managed by a standard surgical ligation of the duct, leaving the occlusion device(the Rashkind umbrella and a detachable coil) in situ in one patient, surgical removal of the detachable coil and...
A Case of Transcatheter Occlusion of Aortopulmonary Window(APW) after APW Banding
Young Seok Lee, In Seung Park, Jae Young Lee, Soo Jin Kim, Mi Young Han, Do Jun Cho, Eun Jung Bae, Seong Ho Kim
Clin Exp Pediatr. 2000;43(9):1290-1293.   Published online September 15, 2000
Aortopulmonary window is an uncommon cardiac anomaly accounting for approximately 0.2-0.6% of all congenital cardiac anomalies in which there is a connection between the ascending aorta and pulmonary trunk. Since the first report of successful surgical repair, many investigators have advocated surgical closure of all types of aortopulmonary windows using different technique. The majority of aortopulmonary windows require surgical therapy...
Original Article
Percutaneous Closure of Patent Ductus Arteriosus Using Coil Embolization
Mi Jung Kang, Sejung Sohn, Eun Jung Bae, In Seng Park, Seong Ho Kim
Clin Exp Pediatr. 1998;41(3):369-377.   Published online March 15, 1998
Purpose : Percutaneous closure with occluding coils has been recently described as a method of nonsurgical treatment of the small patent ductus arteriosus(PDA). The snare-assisted technique or detachable coil has been newly developed, improving coil delivery and eliminating the incidence of coil embolization. This method is also applicable to residual PDA following surgical ligation or device implantation. The study purpose...
Case Report
Abstract= A Case of Right Coronary Arterial Occlusion with Normal Electrocardiogram in Atypical Kawasaki Diseases
Yoon Kyung Lee, Jong Wan Kim, Kyung Tai Whang
Clin Exp Pediatr. 1996;39(3):411-416.   Published online March 15, 1996
Kawasaki disease is an acute febrile illness of unknown etiology that occurs predominantly in infants and early childhood. It had aroused intense interest because of the sequelae of coronary arteritis accompanied by coronary artery aneurysms and thrombotic occlusion, which may lead to ischemic heart disease or sudden death. Atypical Kawasaki disease is coined to describe patients who have coronary abnormalities,...
Original Article
Nonsurgical Closure of Patent Ductus Arteriosus with the Rashkind PDA Occluder System
Yong Soo Yun, Jung Yun Choi, Jung Il Noh
Clin Exp Pediatr. 1993;36(4):550-555.   Published online April 15, 1993
The first successful application of a transcatheter occlusion of patent ductus arteriosus (PDA) was performed in 1977. Since that time, with continuing improvement and modification of the equipment as well as in the implantation technique, a clinical success rate of abont 84% was accomplished. In children's hospital, Seoul National University, since March 1992, 29 children with simple PDA were treated with...
A case of double compartment hydrocephalus.
Eun Kyung Oh, Hae Young Lee, Jae Seung Yang, Chul Hu, Young Hyuk Lee
Clin Exp Pediatr. 1991;34(9):1305-1310.   Published online September 30, 1991
The double compartment hydrocephalus is now recognized as a clinical entity needing early diagnosis and treatment. By definition, the concept of double compartment hydrocephalus indicates seperate and individually progressing, usually sequential, hydrocephalus of the supratentorial and infratentorial CSF ventricles. In most instances, this entity consists of supratentorial hydrocephalus of the third and lateral ventricles (as a result of aqueductal stenosis) that has been treated...
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