Transcatheter Closure of Perimembranous Ventricular Septal Defect Using a Modified Double-Disk Occluder

Qin, Yue; Chen, Jin‐Ming; Zhao, Xianxian; De-ning, Liao; Mu, Ruibin; Wang, Shengqiang; Hong, Wang; Guo, Haoxue

doi:10.1016/j.amjcard.2008.02.069

Cited by 83 publications

(86 citation statements)

References 20 publications

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“…Moreover, an appropriately sized occluder will avoid dislodgement of the device and interference with valve function. 8, 16 In general, the device chosen for closure was 1-2 mm larger than the defect diameter measured by TTE. However, for large IVSD, the actual defect size or shunt amount was frequently underestimated to some extent because of the prolapsing aortic valve into the defect.…”

Section: Valvular Regurgitationmentioning

confidence: 99%

Transcatheter Closure of Intracristal Ventricular Septal Defect With Mild Aortic Cusp Prolapse Using Zero Eccentricity Ventricular Septal Defect Occluder

Chen

Liu

et al. 2015

Circ J

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Section: Valvular Regurgitationmentioning

confidence: 99%

Transcatheter Closure of Intracristal Ventricular Septal Defect With Mild Aortic Cusp Prolapse Using Zero Eccentricity Ventricular Septal Defect Occluder

Chen

Liu

et al. 2015

Circ J

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“…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

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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.

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“…In a series of 412 patients with perimembranous VSD, the defect was classified according to the shape of the defect on ventriculography: infundibular, aneurysmal, tubular, and window-like ( Figure 9). 45 The infundibular type was characterized by a wide shunt jet at the left side of the septum and narrow in the right side. In the tubular type, the shunt jet was long and the diameters at both sides of the septum were similar.…”

Section: Transcatheter Closure Of Atrial Septal Defects and Patent Fomentioning

confidence: 99%

“…This resulted in incomplete closure and residual shunt. 45 Echocardiography constitutes the imaging technique of choice to evaluate all these parameters.…”

Section: Transcatheter Closure Of Atrial Septal Defects and Patent Fomentioning

confidence: 99%

Optimal imaging for planning and guiding interventions in structural heart disease: a multi-modality imaging approach

Delgado

Kley

Schalij

et al. 2010

European Heart Journal Supplements

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Recent advances in catheter-based interventions have provided effective alternative treatments to surgery for several structural heart diseases such as atrial or ventricular septal defects. Particularly, the advent of transcatheter valve implantation/repair techniques constitutes one of the main breakthroughs of the last decades offering an effective alternative to patients with symptomatic valvular heart disease and high mortality operative risk. In addition, the role of novel catheter-based interventions has been explored in several clinical conditions that convey an increased risk of cerebrovascular stroke such as patent foramen ovale or atrial fibrillation. Specific devices have been developed to treat all these clinical conditions. To improve the procedural success rate and minimize the frequency of complications, multimodality cardiac imaging plays a central role providing an accurate selection of patients and invaluable assistance during the procedure. Technological advances in the equipments and image post-processing softwares have provided improved accuracy of the image quality and analysis leading to an increasing implementation of these imaging techniques in the clinical practice. The present state-of-the-art article reviews the role of multimodality imaging for planning and guiding interventions in structural heart disease.

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Transcatheter Closure of Perimembranous Ventricular Septal Defect Using a Modified Double-Disk Occluder

Cited by 83 publications

References 20 publications

Transcatheter Closure of Intracristal Ventricular Septal Defect With Mild Aortic Cusp Prolapse Using Zero Eccentricity Ventricular Septal Defect Occluder

Transcatheter Closure of Intracristal Ventricular Septal Defect With Mild Aortic Cusp Prolapse Using Zero Eccentricity Ventricular Septal Defect Occluder

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

Optimal imaging for planning and guiding interventions in structural heart disease: a multi-modality imaging approach

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