eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
4/2018
vol. 14
 
Share:
Share:
more
 
 
abstract:
Short communication

Percutaneous closure of perimembranous and postsurgical ventricular septal defects with Amplatzer Duct Occluder II Additional Sizes in paediatric patients – case series

Mateusz T. Knop, Linda Litwin, Małgorzata Szkutnik, Jacek Białkowski, Michal Galeczka, Roland Fiszer

Adv Interv Cardiol 2018; 14, 4 (54): 429–432
Online publish date: 2018/12/11
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 

Introduction

Perimembranous ventricular septal defect (pmVSD), one of the most frequent congenital heart defects, requires surgical (gold standard) or transcatheter closure in a considerable number of children. In general, the results of surgical correction are excellent; however, in 2.5% of patients residual postsurgical VSDs (psVSD) are reported [1]. There have been numerous attempts to close pmVSD with various devices, with different efficacy and safety rates [2]. The percutaneous closure of psVSD, sometimes of atypical anatomy, was also reported in the literature [3]. The transcatheter treatment of pmVSD remains a controversial problem. The main issues are the risk of embolization, early and late conduction disturbances, damage to the tricuspid valve apparatus or aortic insufficiency [4]. Numerous devices have been proposed for percutaneous pmVSD closure, including the off-label use of Amplatzer muscular VSD occluders, Amplatzer duct occluders type I and II (ADO I, II) or ADOII Additional Sizes (ADO II AS) [2, 5–7]. To the best of our knowledge, there have been only two previous publications from this and the previous year regarding this application of ADO II AS in children – 1 case report [6] and 1 presentation of a series of 4 cases [7].

Aim

To present our preliminary experience with ADO II AS used for the transcatheter closure of 4 pmVSDs and 2 psVSDs.

Material and methods

All patients were qualified for percutaneous VSD closure by a team of paediatric cardiologists and cardiac surgeons based on clinical symptoms of increased pulmonary flow (chest X-ray) and/or echocardiographic signs of LV volume overload. All patients had a Qp/Qs ratio > 1.5. Written informed consent was obtained from the parents prior to the procedures.

Device

ADO II AS (St. Jude Medical, Inc., USA) is a device originally designed for arterial duct closure. Briefly, it is a symmetrical, self-expanding, single mesh layer Nitinol occluder. There are three different waist-disc diameters available (3 mm – 4 mm, 4 mm – 5.25 mm, 5 mm – 6.5 mm), each available with three different waist lengths (2, 4 and 6 mm). A dedicated Amplatzer TorqVue LP 4 French catheter is recommended for the deployment procedure. ADO II AS and its dedicated delivery catheter are characterized by soft construction – this feature is of special importance due to procedural manoeuvres carried out in the proximity of the conduction system and...


View full text...
references:
Scully BB, Morales DL, Zafar F, et al. Current expectations for surgical repair of isolated ventricular septal defects. Ann Thorac Surg 2010; 89: 544-51.
Saurav A, Kaushik M, Mahesh Alla V, et al. Comparison of percutaneous device closure versus surgical closure of peri-membranous ventricular septal defects: a systematic review and meta-analysis. Catheter Cardiovasc Interv 2015; 86: 1048-56.
Zhou W, Li F, Fu L, et al. Clinical experience of transcatheter closure for residual ventricular septal defect in pediatric patients. Congenit Heart Dis 2016; 11: 323-31.
Carminati M, Butera G, Chessa M, et al. Transcatheter closure of congenital ventricular septal defects: results of the European Registry. Eur Heart J 2007; 28: 2361-8.
Szkutnik M, Qureshi SA, Kusa J, et al. Use of the Amplatzer muscular ventricular septal defect occluder for closure of perimembranous ventricular septal defects. Heart 2007; 93: 355-8.
Champaneri B, Kappanayil M, Kumar RK. Transcatheter closure of membranous septal defect in a 1,8-kg infant using Amplatzer Duct Occluder II additional size device. Cardiol Young 2017; 27: 1437-40.
Narin N, Tuncay A, Baykan A, et al. Percutaneous ventricular septal defect closure in patients under 1 year of age. Pediatr Cardiol 2018; 39: 1009-15.
Fiszer R, Chojnicki M, Szkutnik M, et al. Are the AMPLATZER duct occluder II additional sizes devices dedicated only for smaller children? EuroIntervention 2017; 12: 2100-3.
Walsh MA, Bialkowski J, Szkutnik M, et al. Atrioventricular block after transcatheter closure of perimembranous ventricular septal defects. Heart 2006; 92: 1295-7.
El Said, Howaida G, Bratincsak A, et al. Closure of perimembranous ventricular septal defects with aneurysmal tissue using the Amplazter duct occluder I: lessons learned and medium term follow up. Cathet Cardiovasc Interv 2012; 80: 895-903.
El-Sisi A, Sobhy R, Jaccoub V, Hamza H. Perimembranous ventricular septal defect device closure: choosing between Amplatzer duct occluder I and II. Pediatr Cardiol 2017; 38: 596-602.
Wierzyk A, Szkutnik M, Fiszer R, et al. Transcatheter closure of ventricular septal defects with nitinol wire occluders of type patent ductus arteriosus. Adv Intev Cardiol 2014; 10: 21-5.
Polat TB, Turkmen E. Transcatheter closure of ventricular septal defects using the Amplatzer duct occluder II device: a single-center experience. Adv Interv Cardiol 2016; 12: 340-7.
Pamukcu O, Narin N, Baykan A, et al. Mid-term results of percutaneous ventricular septal defect closure with Amplatzer duct occluder-II in children. Cardiol Young 2017; 27: 1726-31.
Haas NA, Kock L, Bertram H, et al. Interventional VSD-closure with the Nit-Occlud® Lê VSD-Coil in 110 patients: early and midterm results of the EUREVECO-registry. Pediatr Cardiol 2017; 38: 215-27.
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe