TY - JOUR JO - Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej SN - 1734-9338 VL - 4 IS - 1 PY - 2008 ID - Pawelec-Wojtalik2008 TI - Original articleShould perimembranous ventricular septal defects still be treated percutaneously? AB - Aim: Assessment of perimembraneous ventricular septal defects (VSD) treatment with the use of AMembrVSDO and evaluation of the early and late complication risk. Methods: In the period from June, 2003 to August, 2005, 17 patients were qualified for VSD transcatheter closure. Patients aged 1.2-18.0 years (mean 9.2±6.5), weighted 9.4-72.0 kg (mean 32.9±21.8). The follow-up period was 3-4 years. Results: The procedure was performed successfully in 15 out of 17 children. The left ventricle end-diastolic dimension decreased statistically after the procedure (p=0.00005). One child (6.7%) suffered from a complete atrioventricular block after the VSD closure. Minor complications were observed in 4 (26.7%) cases. Statistically significant differences were observed between the size of the device and the short diameter of the VSD (p=0.7600), the long diameter of the VSD (p=0.8152), the angiographic diameter of the VSD (p=0.9210) as well as the proposed device (p=0.9202). After VSD closure, the number of patients with TI >I° decreased from 66.7% to 6.7% (p=0.0159) and, in case of those with MI, from 93.3% to 60% (p=0.0270). Conclusion: Percutaneous closure of the perimembranous VSD with AMembrVSDO is a promising method of treatment. Nevertheless, more frequent occurrence of the complete heart block following the above-mentioned procedure in comparison to surgery indicates that the qualification for AMembrVSDO implantation should be performed very carefully. More data is needed to verify safety of this procedure. AU - Pawelec-Wojtalik, Małgorzata AU - Bobkowski, Waldemar AU - Mroziński, Bartłomiej AU - Surmacz, Rafał AU - Mrówczyński, Wojciech AU - Wodziński, Andrzej AU - Bartkowska-Śniatkowska, Alicja AU - Bartkowski, Rafał AU - Biniaś, Arkadiusz SP - 1 EP - 9 DA - 2008 UR - https://www.termedia.pl/Original-article-Should-perimembranous-ventricular-septal-defects-still-be-treated-percutaneously-,35,10207,1,1.html ER -