Universität zu Köln

ten Cate, Floris E. A. Udink, Sobhy, Rodina ORCID: 0000-0002-9402-5174, Kalantre, Atul, Sachdev, Sakshi, Subramanian, Anand, Koneti, Nageswara Rao, Kumar, Raman Krishna, Hamza, Hala, Jayranganath, Mahimarangaiah and Sreeram, Narayanswami (2019). Off-label use of duct occluder devices to close hemodynamically significant perimembranous ventricular septal defects: A multicenter experience. Catheter. Cardiovasc. Interv., 93 (1). S. 82 - 89. HOBOKEN: WILEY. ISSN 1522-726X

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Abstract

Objective We sought to evaluate the feasibility, technical aspects, and outcome of transcatheter perimembranous ventricular septal defect (pmVSD) closure using duct occluder devices with a single retention disc. Background Use of duct occluder devices to close pmVSD seems a promising alternative therapy. However, limited data exist on this technique. Methods From 2010 to 2016, 222 patients (female 47.7%) were identified from databases of five participating institutions in whom pmVSD closure was attempted using an Amplatzer Duct Occluder I or Lifetech duct occluder device. Results Patients ranged in age from 0.7 to 52 years (median, 7.0 years) and in weight from 4.0 to 70 kg (median, 18.0 kg). The mean size of the VSD was 6.8 +/- 2.2 mm. A large defect (> 6 mm) was present in 137 patients (61.7%). Device closure was successful in 218 patients (98.2%). The 10/8 mm device was used in most patients (n = 85, 38.3%), and the vascular approach was from the femoral vein in 169 patients (76.1%). There were 18 early complications in 17/218 patients (7.8%). Three patients (1.4%) developed complete heart block (transient n = 2; requiring permanent pacing n = 1). Median follow-up was 6 months (6 months-6 years). A mild residual shunt was seen in 10 patients at 6 months follow-up. Conclusions The immediate results of transcatheter pmVSD closure using a duct occluder device with a single retention disc are promising. It is an effective technique with a lower rate of complications than for other currently available devices.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code ten Cate, Floris E. A. Udink UNSPECIFIED UNSPECIFIED UNSPECIFIED Sobhy, Rodina UNSPECIFIED orcid.org/0000-0002-9402-5174 UNSPECIFIED Kalantre, Atul UNSPECIFIED UNSPECIFIED UNSPECIFIED Sachdev, Sakshi UNSPECIFIED UNSPECIFIED UNSPECIFIED Subramanian, Anand UNSPECIFIED UNSPECIFIED UNSPECIFIED Koneti, Nageswara Rao UNSPECIFIED UNSPECIFIED UNSPECIFIED Kumar, Raman Krishna UNSPECIFIED UNSPECIFIED UNSPECIFIED Hamza, Hala UNSPECIFIED UNSPECIFIED UNSPECIFIED Jayranganath, Mahimarangaiah UNSPECIFIED UNSPECIFIED UNSPECIFIED Sreeram, Narayanswami UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-140313
DOI:	10.1002/ccd.27792
Journal or Publication Title:	Catheter. Cardiovasc. Interv.
Volume:	93
Number:	1
Page Range:	S. 82 - 89
Date:	2019
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1522-726X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CONGENITAL HEART-DISEASE; TRANSCATHETER CLOSURE; ARTERIOSUS; CHILDREN Multiple languages Cardiac & Cardiovascular Systems Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/14031