Affordable Access

deepdyve-link
Publisher Website

Percutaneous Device Closure of Congenital Isolated Ventricular Septal Defects: A Single-Center Retrospective Database Study Amongst 412 Cases

Authors
  • Walavalkar, Varsha1
  • Maiya, Shreesha1
  • Pujar, Suresh1
  • Ramachandra, Prakash1
  • Siddaiah, Satheesh1
  • Spronck, Bart2
  • Vanagt, Ward Y.3, 4
  • Delhaas, Tammo4
  • 1 Narayana Institute of Cardiac Sciences,
  • 2 Yale University,
  • 3 University Medical Center,
  • 4 Maastricht University,
Type
Published Article
Journal
Pediatric Cardiology
Publisher
Springer-Verlag
Publication Date
Feb 13, 2020
Volume
41
Issue
3
Pages
591–598
Identifiers
DOI: 10.1007/s00246-020-02315-0
PMID: 32055941
PMCID: PMC7170976
Source
PubMed Central
Keywords
License
Unknown

Abstract

To identify suitable cases and reduce failure/complication rates for percutaneous ventricular septal defect (VSD) closure, we aimed to (1) study causes of device failure and (2) compare outcomes with different VSD types and devices in a high-volume single center with limited resources. Retrospective data of 412 elective percutaneous VSD closure of isolated congenital VSDs between 2003 and 2017 were analyzed. Out of 412, 363 were successfully implanted, in 30 device implantation failed, and in 19 the procedure was abandoned. Outcome was assessed using echocardiography, electrocardiography, and catheterization data (before procedure, immediately after and during follow-up). Logistic regression analyses were performed to assess effects of age, VSD type, and device type and size on procedural outcome. Median [interquartile range] age and body surface area were 6.6 [4.1–10.9] years and 0.7 [0.5–1.0] m2, respectively. Device failure was not associated with age ( p = 0.08), type of VSD ( p = 0.5), device type ( p = 0.2), or device size ( p = 0.1). Device failure occurred in 7.6% of patients. As device type is not related to failure rate and device failure and complication risk was not associated with age, it is justifiable to use financially beneficial ductal devices in VSD position and to consider closure of VSD with device in clinically indicated children.

Report this publication

Statistics

Seen <100 times