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Evaluating the outcomes of ventricular septal defect occlusion intervention at the Cardiovascular Center – E Hospital
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Abstract
Objective: To evaluate the short-term outcomes of percutaneous closure of ventricular septal defects in patients of all age.
Summary: Ventricular septal defect (VSD) is the most common congenital heart defect and can be detected during the prenatal and postnatal period. In 1987, Lock et al first applied the technique of interventional occlusion of the VSD using devices through a catheter and this method quickly spread worldwide. Compared with surgery to repair VSD, intervention to occlude the ventricular septum with devices through a catheter helps minimize complications after the procedure, reduces hospital stay time and costs, avoids surgical scars, has less psychological impact. and patient quality of life. Since 2014, the Cardiovascular center – E hospital has also conducted the first VSD occlusion interventions. After 10 years of performing this technique, this is the first study conducted on subjects who underwent intervention using percutaneous devices at the Cardiovascular center – E hospital with a large number of patients including successful, failed, and complicated cases to evaluate the success rate and outcomes after intervention.
Subjects and methods: Retrospective, descriptive study. From October 2014 to October 2023, 427 patients diagnosed with ventricular septal defect underwent percutaneous closure of ventricular septal defect.
Results: Mean age was 7.37 years old, mean weight was 19.08 kg, In echocardiography, the main ventricular septal defect was membraneous, accounting for 96.3% of all cases. The success rate was 94.6%, with a male/female ratio of 206/221. There were a total of 22 cases of complications, of which 2 cases required surgical intervention to manage the complications. No patient died or developed complete atrioventricular block.
Conclusion: Percutaneous ventricular septal defect closure procedure is a high success rate, and should be widely implemented to minimize surgical risks for patients.
Article Details
Keywords
Ventricular septal defect, Transcatheter intervention
References
2. Carminati M, Butera G, Chessa M, De Giovanni J, Fisher G, Gewillig M, et al. Transcatheter closure of congenital ventricular septal defects: results of the European Registry. European Heart Journal. 2007 Oct 1;28(19):2361–8.
3. Doan Duc Dung. Assessing midterm outcomes of transcatheter VSD closure with Coil-pfm or singledisk device for closing perimembranous ventricular septal defect. Hanoi Medical University; 2019.
4. Liu J, Wang Z, Gao L, Tan HL, Zheng Q, Zhang ML. A Large Institutional Study on Outcomes and Complications after Transcatheter Closure of a Perimembranous-Type Ventricular Septal Defect in 890 Cases. Zhonghua Minguo Xin Zang Xue Hui Za Zhi. 2013 May;29(3):271–6.
5. Andersen HØ, De Leval MR, Tsang VT, Elliott MJ, Anderson RH, Cook AC. Is Complete Heart Block After Surgical Closure of Ventricular Septum Defects Still an Issue? The Annals of Thoracic Surgery. 2006 Sep;82(3):948–56.
6. Zheng Q, Zhao Z, Zuo J, Yang J, Wang H, Yu S, et al. A Comparative Study: Early Results and Complications of Percutaneous and Surgical Closure of Ventricular Septal Defect. Cardiology. 2009 Aug 7;114(4):238–43.
7. Chungsomprasong P, Durongpisitkul K, Vijarnsorn C, Soongswang J, Lê TP. The results of transcatheter closure of VSD using Amplatzer® device and Nit Occlud® Lê coil. Catheter Cardiovasc Interv. 2011 Dec 1;78(7):1032–40.
8. Mohammed MHA, Tamimi O, Al-Mutairi M, Alomrani A. Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience. Sudan J Paediatr. 2022;22(2):172–8.
9. El Said HG, Bratincsak A, Gordon BM, Moore JW. Closure of perimembranous ventricular septal defects with aneurysmal tissue using the amplazter duct occluder I: Lessons learned and medium term follow up. Catheterization and Cardiovascular Interventions. 2012;80(6):895–903.
10. Nguyễn Văn Hiếu. Đánh giá kết quả sớm của phương pháp bít thông liên thất cận đại động mạch và thông liên thất phần phễu sử dụng dụng cụ ADO2 qua đường ống thông [Luận văn tốt nghiệp bác sĩ nội trú]. Đại học Y Hà Nội;
11. Park H, Song J, Kim ES, Huh J, Kang IS. Early Experiences Using Cocoon Occluders for Closure of a Ventricular Septal Defect. J Cardiovasc Imaging. 2018 Sep;26(3):165–74.
12. Butera G, Chessa M, Carminati M. Percutaneous closure of ventricular septal defects. State of the art. J Cardiovasc Med (Hagerstown). 2007 Jan;8(1):39–45.