Transcatheter Closure of Residual and Iatrogenic Ventricular Septal Defects: Tertiary Center Experience and Outcome

Taha, F.; Alnozha, Fareed; Amoudi, Osama; Almutairi, Mansour; Abuelatta, Reda

doi:10.1007/s00246-021-02722-x

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…For residual post-operative VSDs, we had successful closure in 10/11 (90.9%) patients; only one had a small residual. Comparable results were reported by Taha et al with successful device closure of 18 residual VSDs either post-operative or post-catheterization with no reported complication or mortality after a mean follow-up of 23.3 months [ 22 ].…”

Section: Discussionsupporting

confidence: 64%

Long-term outcomes of percutaneous closure of ventricular septal defects in children using different devices: A single centre experience from Egypt

Elmarsafawy,

Hafez,

Alsawah

et al. 2023

BMC Pediatr

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Background The feasibility of percutaneous closure ventricular septal defects (VSD) in children has been previously proven. However, data on long-term outcomes are limited. We aim to evaluate the long-term outcome of our experience with percutaneous closure of VSD using various occluders. Methods Retrospective institutional analysis of children who underwent transcatheter closure of perimembranous and muscular VSDs between September 2012 and February 2020. Patient demographics, procedural, and long-term follow-up data were comprehensively analyzed. Patients who lost to follow-up within two years post-procedure were excluded. Results We identified 75 patients (54.7% males) with a median of 66 months (IQR, 46–96). The closure success rate at one year was 95.7%. Complete heart block was detected in two patients early post-procedure and resolved with steroids. The VSDs were perimembranous (52%), muscular (33.33%), and residual (14.67%). Implanted devices were Pfm Nit-Occlud LeˆVSD Coil (42.7%), HyperionTM VSD Muscular Occluder (28%), Amplatzer VSD muscular occluder (10.7%), Amplatzer Duct Occluder (14.7%), Occlutech Muscular VSD Occluder (2.7%), and Amplatzer Duct Occluder II (1.3%). No new arrhythmia or valve regurgitation was detected after two years post-procedure. Persisted complications on long-term follow-up included: residual shunting in 3(4%), mild tricuspid regurgitation in 2(2.7%), and aortic regurgitation in 2(2.7%), with one immediate post-catheterization mild aortic regurgitation worsened during follow-up, requiring surgical repair of VSD three years after device implantation. No deaths were reported. Conclusion Long-term outcomes of pediatric transcatheter VSD closure using different devices are satisfactory. Post-procedural adverse events are limited, but long-term surveillance is necessary to monitor their progression.

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Section: Discussionsupporting

confidence: 64%

Long-term outcomes of percutaneous closure of ventricular septal defects in children using different devices: A single centre experience from Egypt

Elmarsafawy,

Hafez,

Alsawah

et al. 2023

BMC Pediatr

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“…2 Previous reports have suggested that severe, asymmetric calcification of the native valve, an elliptic aortic annulus, oversizing of the valve, or higher placement of the valve may contribute to the occurrence of this complication. 2 Direct trauma to the septum from the implanted valve, compounded by further annulus dilation, may also play a role.…”

Section: Discussionmentioning

confidence: 99%

“…The development of a Gerbode defect during TAVR can be attributed to several potential factors 2 . Previous reports have suggested that severe, asymmetric calcification of the native valve, an elliptic aortic annulus, oversizing of the valve, or higher placement of the valve may contribute to the occurrence of this complication 2 . Direct trauma to the septum from the implanted valve, compounded by further annulus dilation, may also play a role.…”

Section: Discussionmentioning

confidence: 99%

Successful closure of transcatheter aortic valve replacement‐induced Gerbode defect with valve‐in‐valve technique: A case report

Skalidis,

Hamilos,

Petousis

et al. 2023

Cathet Cardio Intervent

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We present the first documented case of a successful closure of a transcatheter aortic valve replacement (TAVR)‐induced Gerbode defect using a valve‐in‐valve approach. A 90‐year‐old female with severe aortic stenosis underwent TAVR. Following post‐dilatation, the patient experienced hemodynamic deterioration and collapse due to tamponade and sub‐annular rupture leading to hemodynamic deterioration and the development of a Gerbode defect with communication between the left ventricle and right atrium. Hemodynamic stabilization was achieved through pericardiocentesis, followed by the low implantation of a second valve, effectively sealing the rupture. This case showcases a valuable alternative for managing rare challenging complications during TAVR procedures.

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“…We read with interest the paper by Taha et al about transcatheter closure of residual and iatrogenic ventricular septal defects: tertiary center experience and outcome [1].We admire the authors on their excellent results. As a cardiac surgeon, I see cardiology nowadays tighten the noose around the neck of cardiac surgery and more complex cardiac surgery procedures are recently performed by the interventional cardiology, both adult and pediatric.…”

Section: To the Editormentioning

confidence: 93%

The Interventional Cardiology and the Cardiac Surgeon

Al‐Ebrahim

2022

Pediatr Cardiol

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Transcatheter Closure of Residual and Iatrogenic Ventricular Septal Defects: Tertiary Center Experience and Outcome

Cited by 4 publications

References 21 publications

Long-term outcomes of percutaneous closure of ventricular septal defects in children using different devices: A single centre experience from Egypt

Long-term outcomes of percutaneous closure of ventricular septal defects in children using different devices: A single centre experience from Egypt

Successful closure of transcatheter aortic valve replacement‐induced Gerbode defect with valve‐in‐valve technique: A case report

The Interventional Cardiology and the Cardiac Surgeon

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