Transcatheter Closure of Congenital Perimembranous Ventricular Septal Defect in Children Using Symmetric Occluders: An 8-Year Multiinstitutional Experience

Wang, Lei; Cao, Sheng; Li, Jun; Yang, Lifang; Liu, Yin; Ren, Jun; Ma, Qiaomei; Xing, Haijian; Li, Dan; Tian, Danqiu; Wan, Yi; Yu, Shiqiang; Chen, Tao; Yang, Xiangdong; Yang, Jian

doi:10.1016/j.athoracsur.2012.03.067

Cited by 42 publications

(44 citation statements)

References 19 publications

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“…In one study, the CAVB was reported as high as 5.8% [17] with the need for pacemaker therapy. In other studies, the major adverse events have been reported as low as 0.6% in pm-VSD patients under 3 years of age using symmetrical devices [15]. Late occurrence of CAVB also has been reported at 1 year follow up [20].…”

Section: Discussionmentioning

confidence: 88%

“…The junctional rhythm at early (within 48 hours) post-device pmVSD implantation indicates an inflammatory process around the atrioventricular node. Some studies showed occurrence of early post-implantation junctional rhythm up to 14% of their patients [15]. This can explain the observed benefit of steroid administration in some patients who developed CAVB early post-device implantation [15].…”

Section: Discussionmentioning

confidence: 91%

“…Our reported benign conduction patients with VSD device closure. CAVB has been reported in up to 5.8% with an asymmetric Amplatzer device [17] and as low as 0.1% with symmetrical occluders [15]. Acute (within 48 hours) and late (at 5 and 12 months post-procedure) CAVB in pmVSD was noted by Carminati et al [18].…”

Section: Latest Ekgmentioning

confidence: 94%

“…CLBBB has been reported at an incidence of 3.7% [16]; however, the incidence of CLBBB was lower at 1.1% using the symmetrical VSD occluder [15].…”

Section: Comment On This Article or Ask A Questionmentioning

confidence: 94%

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Low Incidence of Rhythm Disturbance following Percutaneous Closure of Ventricular Septal Defects using the Amplatzer Device at Immediate-to-Long-Term Follow Up

Dilawar¹,

Rahmath²,

Al-Hroob³

et al. 2016

jshd

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Background: There have been concerns of heart block and rhythm disturbances following transcatheter closure of VSD. Our aim in this study is to evaluate rhythm and conduction disturbances following percutaneous device closure of ventricular septal defects at immediate and long-term follow up. Methods: A retrospective review of all patients who underwent transcatheter VSD closure using an Amplatzer device from January 2003 to September 2012 at Hamad General Hospital in Qatar was performed, including catheterization data, echocardiograms, and EKGs at latest follow up. Results: Of 49 patients, 45 (35 perimembranous and 10 muscular) were successfully closed. Median age was 8.5 years and median weight was 24 kg. The median VSD size was 6 mm. Median pulmonary to systemic blood flow was 1.4:1, and the median Amplatzer device size was 8 mm. There was no immediate or late mortality, and the closure rate was 91.8%, whereas the procedure was unsuccessful or abandoned in 8.2% of cases. At a mean follow up of 54.5 months, echocardiography revealed complete ventricular septal defect closure in 41 (91%) patients, and 4 (9%) patients had a small residual shunt. An electrocardiography median follow up of 61.9 months revealed normal sinus rhythm in 37 (84%) cases, incomplete right bundle branch block in 1 (2%) case, complete right bundle branch block in 4 (8%) cases, and left bundle branch block in 2 (4%) study group cases. However, complete atrioventricular block was observed in one (2.9%) of the perimembranous VSD patients. Conclusions: Transcatheter closure of perimembranous and muscular ventricular septal defects is a safe and effective procedure. Rhythm disturbance at late follow up is comparable with surgical closure rhythm disturbances and is less frequent than previously found in some transcatheter closure reports.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 91%

Section: Latest Ekgmentioning

confidence: 94%

“…CLBBB has been reported at an incidence of 3.7% [16]; however, the incidence of CLBBB was lower at 1.1% using the symmetrical VSD occluder [15].…”

Section: Comment On This Article or Ask A Questionmentioning

confidence: 94%

See 2 more Smart Citations

Low Incidence of Rhythm Disturbance following Percutaneous Closure of Ventricular Septal Defects using the Amplatzer Device at Immediate-to-Long-Term Follow Up

Dilawar¹,

Rahmath²,

Al-Hroob³

et al. 2016

jshd

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show abstract

“…5 Among the 502 patients, 3 (0.6%) had major adverse events while 104 (20.7%) had minor complications. Among our 19 patients who underwent VSD device closure, there were no major complications, while 4 (21%) had minor complications which included puncture site haematoma (1), moderate TR after VSD device closure (1) and mild residual shunt after device deployment (2).…”

Section: Discussionmentioning

confidence: 99%

Peri-procedural outcome of transcatheter interventions for congenital heart diseases in children in a tertiary level hospital in South Tamil Nadu, India

Masaraddi

Sukulal

et al. 2018

Int J Contemp Pediatr

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Background: Transcatheter based therapies in congenital heart defects have gained popularity, as the morbidity associated with the correction of these defects has been dramatically reduced. Complication rates in this group of children are low and our centre is striving to achieve the same outcome as other major centres. Objective of this study sought to determine the institutional complication rates in a group of children who underwent transcatheter interventions for their congenital heart diseaseMethods: This prospective observational study enrolled 125 patients who underwent elective transcatheter cardiac interventions for congenital heart defects between February 2014 and January 2018. Major and minor complications were predefined.Results: The age of these children ranged from 9 months to 18 years (mean age 9.22 years). The success rate was 99.2% (124/125). Few children (16%) had minor procedure related complications. Only 1 child had a major complication.Conclusions: Transcatheter cardiac interventions in children are highly successful. Meticulous planning and proper case selection are the major contributors for the success of any centre.

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Treatment of congenital non‐ductal shunt lesions with the amplatzer duct occluder II

Vijayalakshmi

Narasimhan

Singh

et al. 2013

Cathet Cardio Intervent

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Transcatheter Closure of Congenital Perimembranous Ventricular Septal Defect in Children Using Symmetric Occluders: An 8-Year Multiinstitutional Experience

Cited by 42 publications

References 19 publications

Low Incidence of Rhythm Disturbance following Percutaneous Closure of Ventricular Septal Defects using the Amplatzer Device at Immediate-to-Long-Term Follow Up

Low Incidence of Rhythm Disturbance following Percutaneous Closure of Ventricular Septal Defects using the Amplatzer Device at Immediate-to-Long-Term Follow Up

Peri-procedural outcome of transcatheter interventions for congenital heart diseases in children in a tertiary level hospital in South Tamil Nadu, India

Treatment of congenital non‐ductal shunt lesions with the amplatzer duct occluder II

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