Percutaneous Perventricular Device Closure of Ventricular Septal Defect: From Incision to Pinhole

Gan, Changping; Peng, Ling; Liang, Zhonglei; Song, Haibo; Yang, Jiahuang; Ruan, Weiqiang; Luo, Sheng; Lin, Kan

doi:10.1016/j.athoracsur.2016.09.061

Cited by 15 publications

(57 citation statements)

References 13 publications

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“…This was quite consistent with those studies using perventricular technique alone [5][6][7]10] . Acute pericardial effusion was found in one case due to dislodgement of the sheath from the RV in the previous report [8] , and this event was explained as an "accident" by us then. In our old technique protocol, after releasing the VSD device, the tip of sheath should be kept right in the RV out ow tract without compromising the rst device or dislodging out of the heart.…”

Section: Discussionmentioning

confidence: 76%

“…The inclusion and exclusion criteria were consistent with the previous study [8] . Again, individual informed consent was obtained from the adult patients and both parents of all the pediatric patients [8] .…”

Section: Methodsmentioning

confidence: 77%

“…In our previous report [8] , patients were enrolled from January to May 2015, 16 patients (9 male) were included In this update, from January 2015 to January 2019 patients who presented with isolated doubly committed subarterial VSDs diagnosed by transthoracic echocardiography (TTE) were added to this pool.…”

Section: Methodsmentioning

confidence: 99%

“…This technique has also been introduced recently in the treatment of doubly committed subarterial VSD with encouraging initial results and excellent cosmetic outcome [5][6][7] . Compared to a mini-thoracotomy, we have advanced a novel and more minimally invasive method by combining perventricular device closure with the percutaneous approach [8] . We successfully closed doubly committed subarterial VSDs through a pinhole-size puncture on the chest.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up.

Wang

Xie²,

Ruan³

et al. 2020

Preprint

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Background: This report presents updated data and mid-term follow-up information to a former study introducing the novel technique of percutaneous-perventricular device closure of doubly committed subarterial ventricular septal defect. Methods: Thirty-eight patients were added to the former series. There were 54 patients in total who had isolated doubly committed subarterial ventricular septal defects and underwent percutaneous-perventricular device closure. Closure outcomes and possible complications were measured in the hospital and during the 2.5-year follow-up. Results: Surgery was successful in 53 patients (98.1%). There was no death, residual shunt, new valve regurgitation or arrhythmia either perioperatively or during the entire follow-up period. Only one patient developed pericardial effusion and tamponade in the former series. The mean hospital stay was 3.2±0.6 days (range, 3.0 to 6.0 days), and only one unsuccessful case needed blood transfusion (1.9%). Conclusions: The percutaneous-perventricular device closure of isolated doubly committed subarterial ventricular septal defects appeared to be safe. Close monitoring for bleeding is essential postoperatively, especially in younger patients. This technique is generally safe with acceptable mid-term follow-up.

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Section: Discussionmentioning

confidence: 76%

Section: Methodsmentioning

confidence: 77%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous-perventricular device closure of ventricular septal defect: mid-term follow-up.

Wang

Xie²,

Ruan³

et al. 2020

Preprint

Self Cite

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show abstract

“…In this issue of the journal Gray et al report a hybrid technique in young infants: perventricular device closure (PVDC) which employs transcatheter techniques after heart is exposed through a mid‐sternotomy without cardiopulmonary bypass, atriotomy or ventriculotomy . Previous studies demonstrated that PVDC is a safe and effective procedure for VSD closure . Gray et al's observations support these finding and extend it to very small infants; median age and weight of their population were just 5.2 months and 5.1 kg.…”

mentioning

confidence: 98%