Transcatheter Closure of Congenital Ventricular Septal Defect with Amplatzer Septal Occluders

Carminati, Mário; Butera, Gianfranco; Chessa, Massimo; Drago, Manuela; Negura, Diana; Piazza, Luciane

doi:10.1016/j.amjcard.2005.09.068

Cited by 133 publications

(107 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The estimated incidence of AR following transcatheter closure ranges from 3.4 to 13.6% [1][2][3], however this is usually in the trivial to mild range with no progression described to date. More significant acute AR has been described in 7 of 550 published cases [1][2][3][4][5][6][7][8][9][10][11] with attempted retrieval of the device in one following release leading to complications requiring urgent surgical retrieval of the device [1].…”

Section: Discussionmentioning

confidence: 95%

Significant aortic regurgitation associated with transcatheter closure of perimembranous ventricular septal defects with a deficient aortic rim

Kenny¹,

Tometzki²,

Martin³

2007

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 95%

Significant aortic regurgitation associated with transcatheter closure of perimembranous ventricular septal defects with a deficient aortic rim

Kenny¹,

Tometzki²,

Martin³

2007

Cathet Cardio Intervent

View full text Add to dashboard Cite

show abstract

“…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]. Independent risk factors for CAVB include younger age, low body weight, oversized device, type of device, repeated maneuvers, and position of defects [17][18][19].…”

Section: Latest Ekgmentioning

confidence: 99%

“…Acute (within 48 hours) and late (at 5 and 12 months post-procedure) CAVB in pmVSD was noted by Carminati et al [18]. Independent risk factors for CAVB include younger age, low body weight, oversized device, type of device, repeated maneuvers, and position of defects [17][18][19]. Butera et al [20] reported two cases of late-onset CAVB at 4 and 12 months after the procedure.…”

Section: Latest Ekgmentioning

confidence: 99%

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

View full text Add to dashboard Cite

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.

show abstract

“…Recent studies have reported a 2% to 3.6% incidence of AV block requiring immediate and late permanent pacemaker placement after transcatheter device closure of perimembranous VSD (4,5).…”

Section: Introductionmentioning

confidence: 99%

Conduction disorders in continuous versus interrupted suturing technique in ventricular septal defect surgical repair

Javadikasgari¹,

Gholampour-Dehaki²,

Zareh³

et al. 2016

Res Cardiovasc Med

View full text Add to dashboard Cite

Background: Ventricular septal defects (VSD) is one of the most frequent congenital cardiac malformations and cardiac conduction disorders are still one of the serious postoperative complications in this surgery. Objectives: This study aimed to compare the incidence of conduction disorders with the use of continuous compared to interrupted suturing techniques in VSD surgical repair. Patients and Methods: Previously recorded data of 231 patients who underwent surgical closure of VSD between January 2009 and January 2012 at the Rajaie cardiovascular medical and research center were retrospectively reviewed. VSD surgical repair was performed using continues suturing technique in group A patients (n = 163, 70.6%) and interrupted suturing technique in group B patients (n = 68, 29.4%). Results: The most common concomitant congenital anomaly was Tetralogy of Fallot (27.3%). Twenty-four (10.4%) patients had intraoperative cardiac arrhythmia, including 19 (8.2%) transient and 5 (2.2 %) permanent arrhythmia. During their ICU stay, ventricular arrhythmia and complete heart block were observed in 34 (14.7%) and 5 patients (2.2%), respectively. At the time of the last follow-up, incomplete right bundle branch block (RBBB), complete RBBB, RBBB with left anterior hemi-block, and complete heart block were identified in 84 (36.4%), 42 (18.2%), 29 (12.6%), and 5 patients (2.2%), respectively. The results revealed that group A patients were most likely to have had cardiac arrhythmias during their ICU stay and at the time of last follow-up (P < 0.001), while the intraoperative incidence of cardiac arrhythmia during surgery was not statistically significant between the two groups (P = 0.06). Conclusions: In the absence of any statistical differences in the other risk factors between the two groups, the difference in the incidence of conduction disorders can be attributed to the type of suturing used during the procedure.

show abstract

Transcatheter Closure of Congenital Ventricular Septal Defect with Amplatzer Septal Occluders

Cited by 133 publications

References 21 publications

Significant aortic regurgitation associated with transcatheter closure of perimembranous ventricular septal defects with a deficient aortic rim

Significant aortic regurgitation associated with transcatheter closure of perimembranous ventricular septal defects with a deficient aortic rim

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

Conduction disorders in continuous versus interrupted suturing technique in ventricular septal defect surgical repair

Contact Info

Product

Resources

About