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Transcatheter closure of large perimembranous ventricular septal defects with inlet to outlet extension with the Amplatzer Vascular Plug-II

Published online by Cambridge University Press:  05 December 2022

Enrico Piccinelli
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, UK National Heart and Lung Institute, Imperial College London, UK Polito BIO Med Lab, Department of Mechanical and Aerospace Engineering, Politecnico di Torino, Italy
Carles Bautista-Rodriguez
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, UK National Heart and Lung Institute, Imperial College London, UK
Alain Fraisse*
Affiliation:
Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, UK National Heart and Lung Institute, Imperial College London, UK
*
Author for correspondence: Alain Fraisse, Paediatric Cardiology Services, Royal Brompton Hospital and Harefield NHS Foundation Trust, Sydney Street, SW3 6NP London, UK. Tel: +442073528121 ext 88680. E-mail: a.fraisse@rbht.nhs.uk

Abstract

Transcatheter closure of perimembranous ventricular septal defect is an alternative to surgery in selected small to medium defects with a reasonable distance between the defect and the aortic or tricuspid valves. Surgical closure is generally preferred for large defects with an inlet to outlet extension, aortic malalignment, or deficient aortic rim. We report two successful cases of percutaneous closure of large perimembranous ventricular septal defects with inlet to outlet extension using an Amplatzer Vascular Plug-II via a retrograde approach. Transcatheter closure of large perimembranous ventricular septal defect with inlet to outlet extension is feasible and facilitated by the characteristics of the Amplatzer Vascular Plug-II device and the specific implantation technique.

Type
Brief Report
Copyright
© Royal Brompton hospital, 2022. Published by Cambridge University Press

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Footnotes

E.P. and C.B.R. authors have contributed equally to this work.

References

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: 10481056. DOI 10.1002/ccd.26097.CrossRefGoogle ScholarPubMed
Haddad, RN, Daou, L, Saliba, Z. Device closure of perimembranous ventricular septal defect: choosing between Amplatzer occluders. Front Pediatr. 2019; 7: 110. DOI 10.3389/fped.2019.00300.CrossRefGoogle ScholarPubMed
Mijangos-Vázquez, R, El-Sisi, A, Sandoval Jones, JP, et al. Transcatheter closure of perimembranous ventricular septal defects using different generations of Amplatzer devices: multicenter experience. J Interv Cardiol 2020; 2020: 17. DOI 10.1155/2020/8948249.CrossRefGoogle ScholarPubMed
Hua, N, Aquino, P, Owada, CY. Transcatheter closure of perimembranous ventricular septal defects with the Amplatzer Vascular Plug-II. Cardiol Young. 2016; 26: 11941201. DOI 10.1017/S1047951115002206.CrossRefGoogle ScholarPubMed
Mandal, KD, Su, D, Pang, Y. Long-term outcome of transcatheter device closure of perimembranous ventricular septal defects. Front Pediatr. 2018; 6: 16. DOI 10.3389/fped.2018.00128.CrossRefGoogle ScholarPubMed
Li, H, Shi, Y, Zhang, S, et al. Short- and medium-term follow-up of transcatheter closure of perimembranous ventricular septal defects. BMC Cardiovasc Disord. 2019; 19: 110. DOI 10.1186/s12872-019-1188-y.CrossRefGoogle Scholar
Shah, J, Saraiya, S, Nikam, T, Jha, M. Transcatheter device closure of perimembranous ventricular septal defect in pediatric patients: long-term outcomes. Hear Views 2020; 21: 17. DOI 10.4103/heartviews.heartviews_13_19.CrossRefGoogle ScholarPubMed
Pillai, AA, Rangasamy, S, Balasubramonian, VR. Transcatheter closure of moderate to large perimembranous ventricular septal defects in children weighing 10 kilograms or less. World J Pediatr Congenit Hear Surg. 2019; 10: 278285. DOI 10.1177/2150135119825562.CrossRefGoogle ScholarPubMed
Fu, YC, Bass, J, Amin, Z, et al. Transcatheter closure of perimembranous ventricular septal defects using the new Amplatzer Membranous VSD Occluder: results of the U.S. phase I trial. J Am Coll Cardiol. 2006; 47: 319325. DOI 10.1016/j.jacc.2005.09.028.CrossRefGoogle ScholarPubMed

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