[Transcatheter closure of congenital ventricular septal defects]

Z Kardiol. 2004 Feb;93(2):147-55. doi: 10.1007/s00392-004-1040-x.
[Article in German]

Abstract

We report on the transcatheter closure of ventricular septal defects (VSD) in 26 patients with Amplatzer Occluders and Nit- Occlud Coil Systems. Twenty-one patients had a perimembranous and 5 patients a muscular VSD. Patients' age range was 5 months to 59 years (median 8 years) and their body weight 4.5 kg to 167 kg (median 28 kg). Defect diameters were 3-11 mm (median 5 mm). Sixteen patients had left ventricular volume overload and 7 patients pulmonary hypertension (median 50% of systemic pressure). Seven patients suffered from trivial or mild aortic regurgitation. Twenty-eight devices (4-12 mm; median 8 mm) were implanted (16 Amplatzer, 12 Nit-Occlud) through sheaths of 4F to 9F (median 7F). Fluoroscopy times were 8.3- 56.5 min (median 26.2 min). One coil was surgically explanted directly after intervention. One patient needed pulmonary banding due to additional VSDs. After a follow-up of 7 months (1-12 months), 2 patients had a small and 9 a minimal residual shunt. Thirteen defects were completely closed. Transcatheter closure of VSDs with new devices seems to be a promising therapy for suitable defects in different hemodynamic conditions in patients of every age.

MeSH terms

  • Adolescent
  • Adult
  • Angiography
  • Cardiac Catheterization / instrumentation*
  • Child
  • Child, Preschool
  • Female
  • Fluoroscopy
  • Follow-Up Studies
  • Heart Septal Defects, Ventricular / diagnostic imaging
  • Heart Septal Defects, Ventricular / surgery*
  • Heart Septum / diagnostic imaging
  • Heart Septum / surgery
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Postoperative Complications / etiology
  • Postoperative Complications / surgery
  • Prosthesis Fitting
  • Prosthesis Implantation*