Khoshhal SQ, Al-Mutairi MB, Alnajjar AA, Morsy MM, Salem SS, Al-Muhaya M, El-Harbi KM, Abo-Haded HM. Transcatheter device closure of ventricular septal defects in children: a retrospective study at a single cardiac center.
Ann Saudi Med 2020;
40:396-402. [PMID:
33007168 PMCID:
PMC7532053 DOI:
10.5144/0256-4947.2020.396]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND
Ventricular septal defect (VSD) is the most common congenital heart disease in the pediatric population. Nowadays, trans-catheter closure is considered a feasible method of therapy for most muscular and some perimembranous types of VSDs.
OBJECTIVE
Assess the safety, efficacy and outcome of percutaneous transcatheter closure of VSDs in children.
DESIGN
Retrospective, single center study.
SETTING
Madinah Cardiac Center, Madinah, Saudi Arabia.
PATIENTS AND METHODS
The study included all consecutive children who underwent transcatheter closure of isolated VSD during the period from December 2014 to January 2019. The data were collected from hospital database medical records. Transthoracic echocardiography (TTE) and an electrocardiogram (ECG) were done before and after the procedure in all the patients. The device was implanted by the retrograde or antegrade approach. All patients were subjected to follow-up evaluation at 1, 3, 6, 12 months, and annually thereafter with TTE and ECG.
MAIN OUTCOME MEASURES
Procedure success rate, clinical follow-up, TTE.
SAMPLE SIZE
70 children.
RESULTS
The mean (standard deviation) age of patients was 10.2 (4.1) years (range: 2-18 years), and their mean body weight was 30.9 (13.9) kg (range: 7.0-57.7 kg). Forty-eight (68.6%) children had muscular VSD (mVSD), and 22 (31.4%) children had perimembranous VSD (pmVSD). The majority of defects were closed via the retrograde approach using the Amplatzer muscular occluder device. At 24 hours after the procedure, the success rate was 90%. Only four (5.7%) cases had major adverse events including complete atrioventricular block, hemolysis, and thrombus formation.
CONCLUSION
Transcatheter closure is a safe and feasible procedure in VSDs of various morphologies, with a low adverse event rate.
LIMITATIONS
Retrospective design, single-center study, absence of control group.
CONFLICT OF INTEREST
None.
Collapse