Influence of percutaneous catheter intervention for congenital perimembranous ventricular septal defects in children on the cardiac conduction system and associated risk factors: a meta-analysis

Lei, Yu-Qing; Lin, Wensheng; Lin, Shi-Hao; Xie, Wen‐Peng; Liu, Jianfeng; Chen, Qiang; Cao, Hua

doi:10.1186/s13019-022-01751-8

Cited by 3 publications

(1 citation statement)

References 28 publications

(39 reference statements)

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“…Although the theoretical incidence of CAVB is low, it cannot be avoided completely ( 7 ). The reported incidence of CAVB after transcatheter closure of VSD is 1%–5% ( 8 – 10 ); however, a recent meta-analysis of transcatheter closure of VSD reported the incidence of CAVB as 0.8% ( 11 ). The mechanism of CAVB after transcatheter closure of VSD may be related to the occurrence of inflammatory edema around the defect ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Case report: Recovery of long-term delayed complete atrioventricular block after minimally invasive transthoracic closure of ventricular septal defect

Jin

Lian

Wen

et al. 2023

Front. Cardiovasc. Med.

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IntroductionLong-term delayed complete atrioventricular block (CAVB) is a serious complication of ventricular septal defect (VSD) closure treatment. Thus, cardiac surgeons have made significant efforts to explore its causes and reduce its incidence. In recent years, minimally invasive transthoracic closure (MITC) of VSD has been used widely and successfully in China as it is easy to repeat, ensures individualized closure, and can be debugged repeatedly. Theoretically, the possibility of the recurrence of CAVB is lower than that with transcatheter closure. Although the incidence of CAVB after MITC of VSD is inevitable, long-term delayed CAVB has rarely been reported.Case descriptionHerein, we report a case of delayed CAVB that occurred 2 years and 5 months after performing MITC of a perimembranous VSD. The cardiac rhythm recovered after the occluder was removed surgically.ConclusionThe findings of our case report emphasize that since delayed CAVB may occur in the long term after MITC of VSD, the safety of MITC of VSD should be reassessed, the indications for MITC should be strictly followed, and long-term follow-up, including lifelong follow-up, is recommended for patients postoperatively. In addition, the occluder should be removed surgically in patients with CAVB as it may restore normal heart rhythm.

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Section: Discussionmentioning

confidence: 99%

Case report: Recovery of long-term delayed complete atrioventricular block after minimally invasive transthoracic closure of ventricular septal defect

Jin

Lian

Wen

et al. 2023

Front. Cardiovasc. Med.

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Diretriz Brasileira de Ergometria em Crianças e Adolescentes – 2024

Carvalho,

Freitas,

Chalela

et al. 2024

Arq. Bras. Cardiol.

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Classes de Recomendação Classe I: Condições para as quais há evidências conclusivas e, na sua falta, consenso geral de que o procedimento é seguro e útil/eficaz. Classe II: Condições para as quais há evidências conflitantes e/ou divergência de opinião sobre a segurança e utilidade/eficácia do procedimento. Classe IIa: Peso ou evidência/opinião a favor do procedimento. A maioria aprova. Classe IIb: Segurança e utilidade/eficácia menos estabelecidas, havendo opiniões divergentes. Classe III: Condições para as quais há evidências e/ou consenso de que o procedimento não é útil/eficaz e, em alguns casos, pode ser prejudicial. Níveis de Evidência Nível A: Dados obtidos a partir de múltiplos estudos randomizados de bom porte, concordantes e/ou de metanálise robusta de estudos randomizados. Nível B: Dados obtidos a partir de metanálise menos robusta, a partir de um único estudo randomizado e/ou de estudos observacionais. Nível C: Dados obtidos de opiniões consensuais de especialistas.

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Brazilian Guideline for Exercise Testing in Children and Adolescents – 2024

Carvalho,

Freitas,

Chalela

et al. 2024

Arq. Bras. Cardiol.

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Classes of Recommendation Class I: Conditions for which there is conclusive evidence and, failing that, general agreement that a given procedure is safe and useful/effective. Class II: Conditions for which there is conflicting evidence and/or a divergence of opinion about the safety and usefulness/efficacy of a procedure. Class IIa: Weight or evidence/opinion in favor of the procedure. Most approve. Class IIb: Safety and usefulness/efficacy less well established, with divergence of opinions. Class III: Conditions for which there is evidence and/or general agreement that a procedure is not useful/effective and, in some cases, may be harmful. Levels of Evidence Level A: Data derived from multiple large, concordant randomized trials and/or robust meta-analyses of randomized trials. Level B: Data derived from less robust meta-analyses, from a single randomized trial and/or from observational studies. Level C: Data derived from consensus opinion of experts.

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Influence of percutaneous catheter intervention for congenital perimembranous ventricular septal defects in children on the cardiac conduction system and associated risk factors: a meta-analysis

Cited by 3 publications

References 28 publications

Case report: Recovery of long-term delayed complete atrioventricular block after minimally invasive transthoracic closure of ventricular septal defect

Case report: Recovery of long-term delayed complete atrioventricular block after minimally invasive transthoracic closure of ventricular septal defect

Diretriz Brasileira de Ergometria em Crianças e Adolescentes – 2024

Brazilian Guideline for Exercise Testing in Children and Adolescents – 2024

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