Abstract
Objective: This study attempted to report the initial results: the safety and efficacy of transcatheter closure
of ventricular septal defects (VSDs) at Hue Central Hospital with the short and medium-term follow-up.
Methods: From September 2012 to May 2017, a total of 36 patients with perimembranous or muscular
VSD underwent an attempt of transcatheter closure at the Department of Interventional Cardiology, Hue
Central Hospital.
Results: 14 males and 26 females participated in this study, with the age of 17.29 ± 13.72 and
24.23 ± 12.32 respectively. Among these patients, 19.44% of them were under 6-year-old; 72.22% had
perimembranous VSDs, 27.78% had muscular VSDs, and 33.33% had aneurysm. The distance to AV was
5.62 ± 4.32 mm. The device size was 15.31± 8.12 mm. Procedures lasted for 57.17 ± 26.5 min with 15.31±
8.12 min of exposure. The complete closure rates by transthoracic echocardiography after 24 hours, 1
month, 3 months and 6 months (transthoracic) were 94.44%; 94.44% ; 97.22% and 100%, respectively.
Mean time of follow-up was 11.92 ± 8.36 (3-38) months. Success rate was 97.22% and no death occurred.
There was 1 case of hematuria, lasting 1 month; no Atrioventricular (AV) block.
Conclusions: Transcatheter closure of VSDs is a novel, feasible and safe technique with high success
rate (97.22%). The transcather approach provides a less invasive alternative than surgical closure and
might become the first choice treatment in selected patients.
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| Published | 20-06-2020 | |
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| Issue | No. 62 (2020) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2020.62.1 | |
| Keywords | transcatheter closure, ventricular septal defects transcatheter closure, ventricular septal defects |
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Copyright (c) 2020 Journal of Clinical Medicine Hue Central Hospital