Transcatheter closure of ventricular septal defect using detachable steel coil

Abstract

Transcatheter closure has been attempted in selected cases of ventricular septal defects using Lock clamshell device, Rashkind umbrella device, and Sideris buttoned device. A small perimembranous ventricular septal defect with aneurysm of membranous septum in a 12 year old girl was closed successfully with a detachable steel coil of 8 mm diameter with four loops, after failure of deployment of a Rashkind double umbrella device. (Heart 1999;82:395-396)

Transcatheter Closure of Perimembranous Ventricular Septal Defects

“…Interventional pediatric cardiologists have made efforts in the last decade to develop a percutaneous approach for the closure of pmVSD (15,16,(23)(24)(25). However, only the recent introduction of the Amplatzer muscular and pmVSD occluders has increased the number of subjects in whom percutaneous closure is feasible (15,16,26 -33).…”

Transcatheter Closure of Membranous Ventricular Septal Defects—Old Problems and New Solutions

“…Since then, various devices have been used, such as the Clamshell or CardioSeal-Starflex device, 13,14 the Sideris buttoned device, 15 and Gianturco coils. 16 The rate of success of such procedures has been reported between 77% and 100% of cases, while residual shunting was reported in between 35% and 100% of cases. [12][13][14][15][16][17][18][19][20] Furthermore, the procedure was technically difficult when using these devices, and complications were encountered with some frequency.…”

“…[12][13][14][15][16][17][18][19][20] Furthermore, the procedure was technically difficult when using these devices, and complications were encountered with some frequency. [12][13][14][15][16][17][18][19][20] Introduction of the Amplatzer family of devices has markedly widened the application of transcatheter techniques for closure of these defects. 21,22 This is particularly true for perimembranous defects.…”

Historical Aspects of Transcatheter Treatment of Heart Disease in Children

“…Goldstein and his associates [240] utilized clamshell occluder to close the VSDs. Perioperative closure of muscular VSDs was used in complex congenital heart defects as a part of overall management of the patients [241] Subsequently, buttoned device [242,243], Amplatzer muscular VSD device [244,245], detachable steel coil [246], Gianturco coils [247], Amplatzer membranous VSD occluder [248], wireless devices (Detachable balloon & transcatheter patch) [249], CardioSEAL/ STARFlex devices [250], Nit-Occlud (Nickel-Titanium Spiral Coil) [251], Amplatzer Duct Occluder [252] and Amplatzer Duct Occluder II [253] devices were used for transcatheter occlusion of VSDs.…”