Perventricular device closure of doubly committed sub-arterial ventricular septal defects via a left infra-axillary approach

Zhou, Sijie; Zhao, Lei; Fan, Taibing; Li, Bin; Liang, Weijie; Dong, Hui; Song, Shuai; Liu, Lin

doi:10.1111/jocs.13155

Cited by 12 publications

(32 citation statements)

References 10 publications

(12 reference statements)

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“…TEE‐guided transthoracic occlusion, without cardiopulmonary bypass cardiopulmonary bypass, and no radiation, is an excellent surgical stratege. At present, the surgical approaches for DCS‐VSD occlusion surgery mainly include sternum incision, intercostal incision on the left side and underarm incision 1,3,6,7 . This study reports a comparison of the two surgical approaches, which are sternum incision and intercostal incision, combined with the literature, to analyze their respective advantages and disadvantages, and discuss which method is a better surgical approach.…”

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confidence: 99%

A study on eccentric occluder via ultra minimal incision of doubly committed subarterial ventricular septal defects

et al. 2021

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Object To compare the clinical data of sternotomy and left intercostals incision, combined with the literature, to provide the best surgical incision for committed subarterial ventricular septal defect (DCS‐VSD). Methods From July 2016 to July 2020, a total of 117 cases of occlusion surgeries for DCSVSD, which guided by transoesophagel echocardiography (TEE) were completed, including 34 cases with sternotomy incision and 83 cases with left intercostal incision. Statistics and analysis of the operation and follow‐up. Results A total of 115 cases successfully occluded, the successful rate was 98.29%, and 1 case failed in each group. Pericardial effusion occurred in five children after the drainage device was removed, and the pericardial effusion disappeared after diuretic treatment. There was no statistical difference between the two groups in operation time, occlusion time, thoracotomy time and postoperative hospital stay. All the children recovered and were discharged from the hospital, and were followed‐up for 2–30 months after operation. Conclusion TEE‐guided intercostal DCS‐VSD occlusion is safe and effective. There is no statistical difference between two approach with the operation time, chest opening and closing time, occluder placing time, and postoperative hospital staying. At the same time, the surgical incision by intercostal incisionis smaller and the operation invasion is less, it is a surgical approach which worth to develop.

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confidence: 99%

A study on eccentric occluder via ultra minimal incision of doubly committed subarterial ventricular septal defects

et al. 2021

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“…ADO have been used to treat fistulas following percutaneous coronary interventions, and aortic valve replacements . They have been used in congenital heart surgery to close atrial septal defects, ventricular septal defects, and aortopulmonary window defects …”

Section: Discussionmentioning

confidence: 99%

A hybrid approach for patent ductus arteriosus closure using the Amplatzer Duct Occluder

et al. 2018

J Card Surg

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“…1). A total of 9 articles [9][10][11][12][13][14][15][16][17] were included and further analyzed. Five studies were case series, and the other 4 studies were case-control studies, comparing perventricular device closure with surgical repair or transfemoral device closure.…”

Section: Study Selection and Quality Assessmentmentioning

confidence: 99%

“…However, such an approach is still limited by technical difficulty, caused by the special location of dcsVSDs, which results in longer radiation times and lower success rates. In recent years, perventricular device closure of dcsVSDs has been developed as an alternative to conventional surgical repair in China [9][10][11][12][13][14][15][16][17]. No metaanalysis focusing on perventricular device closure of dcsVSDs has been reported.…”

Section: Introductionmentioning

confidence: 99%

A meta-analysis of perventricular device closure of doubly committed subarterial ventricular septal defects

Huang

Kim

Huang

et al. 2020

J Cardiothorac Surg

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Background: To investigate the safety and efficacy of perventricular device closure of doubly committed subarterial ventricular septal defects (dcsVSDs). Methods: PubMed and Scopus were searched for studies in English that focused on perventricular device closure of dcsVSDs and were published up to the end of September 2019. We used a random-effects model to obtain pooled estimates of the success and complication rates. Results: A total of 9 publications including 459 patients with dcsVSDs were included. The median follow-up duration ranged from 2 months to 5 years, with the mean age of patients ranging from 6.1 months to 4.5 years. The pooled estimate of the overall success rate of device closure in the 9 studies was 0.89 (95% CI: 0.86-0.93, I 2 = 26.5%, P = 0.208). Further meta-regression analysis indicated no significant correlation between the success rate and the following factors: publication year, sample size, study type, mean age, mean weight, mean VSD size, and ratio of device size/weight. The pooled rate of postoperative aortic regurgitation was 0.045 (95% CI: 0.018-0.071, I 2 = 50.96%, P = 0.000). The pooled rate of follow-up aortic regurgitation (AR) was 0.001 (95% CI, − 0.003-0.004, I 2 = 63.00%, P = 0.009.) The pooled estimated rate of severe intraoperative complications was 0.106 (0.073-0.140, I 2 = 70.7%, P = 0.208). Postoperative and follow-up complications were rare. No occurrence of a complete atrioventricular block was reported up to the last follow-up visit. Conclusions: Perventricular device closure may be an alternative to conventional surgical repair in selected patients with dcsVSDs. The success rate was stable regarding the publication year and sample size, suggesting a relatively short learning curve and the technique's potential for application.

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Perventricular device closure of doubly committed sub-arterial ventricular septal defects via a left infra-axillary approach

Abstract: Perventricular device closure of a dcVSD through a left infra-axillary approach is feasible, safe, and efficacious in selected patients with dcVSD.

Cited by 12 publications

References 10 publications

A study on eccentric occluder via ultra minimal incision of doubly committed subarterial ventricular septal defects

A study on eccentric occluder via ultra minimal incision of doubly committed subarterial ventricular septal defects

A hybrid approach for patent ductus arteriosus closure using the Amplatzer Duct Occluder

A meta-analysis of perventricular device closure of doubly committed subarterial ventricular septal defects

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