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OBJECTIVES:We adopted perimembranous (PM) ventricular septal defect (VSD) closure by using only femoral arterial access and choosing device size based on transthoracic echocardiography (TTE) without injection of contrast. Here, we have evaluated mid term results.METHODS: From December 2022 to December 2023, patients with PM VSD, who treated percutaneously were retrospectively analized. Patients age, body weight, procedure time, VSD size, used occluder size, complications were analized. The day after the procedure and one month later, routine electrocardiography (ECG) and TTE were performed to find or exclude any type of device-related arrhythmias, residual shunt, new onset AR, or TR.RESULTS:Among 56 patients, 28 were female, and the age median and range were 64 (14-180) months, Body weight 17,35 (8-70)kg. VSD sizewere 4,8 (3,2-7,8) mm. Procedure time were 40 (20-135) minutes. 13 patients had residual shunts less than 3mm, mainly due to the absence of fabric inside small devices, but one month later, it decreased to 8 patients. Nor new onset aortic regurgitation (AR) nither atrio-ventricular (AV) block observed. New mild TR occurred in 3 cases, likely due to tricuspid valve chordae entrapment and 1 patient had moderate TR. Device embolization occured in one case. The device was successfully retrieved by snare, and a 2mm larger device was implanted

  • Количество прочтений 21
  • Дата публикации 01-06-2024
  • Язык статьиIngliz
  • Страницы135-141
Ключевые слова
English

OBJECTIVES:We adopted perimembranous (PM) ventricular septal defect (VSD) closure by using only femoral arterial access and choosing device size based on transthoracic echocardiography (TTE) without injection of contrast. Here, we have evaluated mid term results.METHODS: From December 2022 to December 2023, patients with PM VSD, who treated percutaneously were retrospectively analized. Patients age, body weight, procedure time, VSD size, used occluder size, complications were analized. The day after the procedure and one month later, routine electrocardiography (ECG) and TTE were performed to find or exclude any type of device-related arrhythmias, residual shunt, new onset AR, or TR.RESULTS:Among 56 patients, 28 were female, and the age median and range were 64 (14-180) months, Body weight 17,35 (8-70)kg. VSD sizewere 4,8 (3,2-7,8) mm. Procedure time were 40 (20-135) minutes. 13 patients had residual shunts less than 3mm, mainly due to the absence of fabric inside small devices, but one month later, it decreased to 8 patients. Nor new onset aortic regurgitation (AR) nither atrio-ventricular (AV) block observed. New mild TR occurred in 3 cases, likely due to tricuspid valve chordae entrapment and 1 patient had moderate TR. Device embolization occured in one case. The device was successfully retrieved by snare, and a 2mm larger device was implanted

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