MID-TERM FOLLOW-UP OF THE TRANSCATHETER CLOSURE OF PERIMEMBRANOUS VENTRICULAR SEPTAL DEFECTS IN CHILDREN USING THE AMPLATZER

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GHADERIAN MEHDI; MERAJIE MAHMOOD; MORTEZAEIAN HODJJAT; AARABI MOGHADAM MOHAMMAD YOOSEF; SHAHMOHAMMADI AKBAR

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Journal: THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER Year:2015 | Volume:10 | Issue:4 Page(s): 182-187

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Title

MID-TERM FOLLOW-UP OF THE TRANSCATHETER CLOSURE OF PERIMEMBRANOUS VENTRICULAR SEPTAL DEFECTS IN CHILDREN USING THE AMPLATZER

Author(s)

Keywords

HEART SEPTAL DEFECT

VENTRICULAR

HEART DEFECTS

CONGENITAL

SEPTAL OCCLUDER DEVICE

Abstract

Background: The VENTRICULAR septal defect (VSD) is the most common form of CONGENITAL HEART DEFECTS. The purpose of this study was to evaluate the results of the early complications and mid-term follow-up of the trans catheter closure of the VSD using the Amplatzer VSD Occluder.Methods: Between April 2012 and October 2013, 110 patients underwent the percutaneous closure of the perimembranous VSD. During the procedure, the size and type of the VSD were obtained via ventriculography. A device at least 2 mm larger than the VSD diameter measured via ventriculography was deployed. The size of the VSD, size of the Amplatzer, and devicesize to VSD-size ratio were calculated. After the confirmation of the suitable position of the device via echocardiography and left ventriculography, the device was released. Follow-up evaluations were done at discharge as well as at 1, 6, and 12 months and yearly thereafter for the VSD occlusion and complete heart block.Results: The study population comprised 62 females and 48 males. The mean age and weight of the patients at procedure were 4.3 ± 5.6 years (range: 2 to 14) and 14.9 ± 10.8 kg (range: 10 to 43). The average device size was 7.0 ± 2.5 mm (range: 4 to 14). The VSD occlusion rate was 72.8% at the completion of the procedure and rose up to 99.0% during the follow-up. The most serious significant complication was complete atrioventricular block, which was seen in 2 patients. The mean follow-up duration was 10.9 ± 3.6 months.Conclusion: The transcatheter closure of the perimembranous VSD was a safe and effective treatment with excellent closure rates in our study population. This procedure had neither mortality nor serious complications.

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APA: Copy

GHADERIAN, MEHDI, MERAJIE, MAHMOOD, MORTEZAEIAN, HODJJAT, AARABI MOGHADAM, MOHAMMAD YOOSEF, & SHAHMOHAMMADI, AKBAR. (2015). MID-TERM FOLLOW-UP OF THE TRANSCATHETER CLOSURE OF PERIMEMBRANOUS VENTRICULAR SEPTAL DEFECTS IN CHILDREN USING THE AMPLATZER. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, 10(4), 182-187. SID. https://sid.ir/paper/302056/en

Vancouver: Copy

GHADERIAN MEHDI, MERAJIE MAHMOOD, MORTEZAEIAN HODJJAT, AARABI MOGHADAM MOHAMMAD YOOSEF, SHAHMOHAMMADI AKBAR. MID-TERM FOLLOW-UP OF THE TRANSCATHETER CLOSURE OF PERIMEMBRANOUS VENTRICULAR SEPTAL DEFECTS IN CHILDREN USING THE AMPLATZER. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER[Internet]. 2015;10(4):182-187. Available from: https://sid.ir/paper/302056/en

IEEE: Copy

MEHDI GHADERIAN, MAHMOOD MERAJIE, HODJJAT MORTEZAEIAN, MOHAMMAD YOOSEF AARABI MOGHADAM, and AKBAR SHAHMOHAMMADI, “MID-TERM FOLLOW-UP OF THE TRANSCATHETER CLOSURE OF PERIMEMBRANOUS VENTRICULAR SEPTAL DEFECTS IN CHILDREN USING THE AMPLATZER,” THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, vol. 10, no. 4, pp. 182–187, 2015, [Online]. Available: https://sid.ir/paper/302056/en

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