2011
DOI: 10.1007/s00380-011-0155-z
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Arrhythmias after transcatheter closure of perimembranous ventricular septal defects with a modified double-disk occluder: early and long-term results

Abstract: With the development of interventional techniques and devices, transcatheter closure of perimembranous ventricular septal defect has been widely performed. However, there has been a lack of long-term follow-up results about postoperative ECG changes of PmVSD patients. We report our experience of early and late arrhythmias after transcatheter closure of PmVSD with a modified double-disk occluder (MDVO). We performed a retrospective review of 79 patients (47 males, 32 females) between September 2002 and May 2007… Show more

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Cited by 26 publications
(22 citation statements)
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“…This complication can occur very early or very late after the procedure. It may be transient and reversible with medications or become persistent and require permanent pacemaker insertion . Thus, percutaneous VSD closure has been largely abandoned in many countries, and surgical closure is still accepted as the standard therapy for pmVSD.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…This complication can occur very early or very late after the procedure. It may be transient and reversible with medications or become persistent and require permanent pacemaker insertion . Thus, percutaneous VSD closure has been largely abandoned in many countries, and surgical closure is still accepted as the standard therapy for pmVSD.…”
Section: Discussionmentioning
confidence: 99%
“…In this study, the procedure success rate was high in both groups (95.6% in the DO group vs. 97.2%in the Coil group, P 5 .53) and comparable to other studies using conventional, off-label use or new devices for percutaneous pmVSD closure. [8][9][10][11][12][13][14][26][27][28][29] In contrast, the clo- [30][31][32][33] Thus, percutaneous VSD closure has been largely abandoned in many countries, and surgical closure is still accepted as the standard therapy for pmVSD. Patients in whom CHB was first detected after percutaneous VSD closure in our centers were treated with intense medication, including corticosteroids, temporary pacemaker and continuously followed for two weeks.…”
Section: Discussionmentioning
confidence: 99%
“…Unlike the Amplatzer Occluder, the nickel-titanium wires of the occluder made in China are extremely flexible and soft. 7) The pVSD was accompanied by a tricuspid pouch. However, it did not mean that the AV node was protected by fibrous tissue from the occluder-related injury.…”
Section: Discussionmentioning
confidence: 99%
“…5,6) The types of postoperative arrhythmias followed by percutaneous closure of a perimembranous ventricular septal defect that have been reported include the blockage of heart conduction (atrioventricular block, right bundle branch block, left bundle branch block), atrial fibrillation, and premature contractions (ventricular premature beats, atrial premature beats). 7) All previous studies and cases related to JET have focused on surgeries for congenital heart disease. 4) Late-onset postoperative JET has not previously been reported as a complication during percutaneous closure.…”
mentioning
confidence: 99%
“…A kind of Modified Amplatzer-type Occluder was induced mainly with a longer waist compared with AVSDO, which was supposed to reduce the mechanism injuries from the pressure of the two disks and was approved by China FDA. The average incidence of cAVB post-procedure dropped to a similar ratio of 1% to 2% compared to surgical procedure (11)(12)(13)(14)(15)(16)(17). Our center has reported a study of 556 cases as the ever largest sample size with more than 5 years follow-up, which revealed 0.72% (four cases) incidence of cAVB (17).…”
Section: Introductionmentioning
confidence: 96%