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Transcatheter Ventricular Septal Defect Closure with Nit-Occlud LêVSD Device—Five Years’Experience and Literature Review

引用

Congenital Heart Disease 2023年第3期18卷 361-371页

作者： Ivana B.Cerović Vladislav A.Vukomanović jovan.lj.košutić Mila S.Stajević Sanja S.Ninić Saša S.Popović Ivan D.Dizdarević Staša D.Krasić Sergej M.Prijić Cardiology Department Mother and Child Health Institute of Serbia“Dr VukanČupić”Belgrade11070Serbia Faculty of Medicine University of BelgradeBelgrade11070Serbia

Introduction:Transcatheter closure is an alternative to ventricular septal defect(VSD)occlusion ***-Occlud LêVSD coil is a new device yet to be *** study aimed to evaluate immediate and midterm results after transcatheter closure with the Nit-Occlud LêVSD ***:The retrospective analysis included 30 patients with VSD referred for closure during the period from October 2015 to December ***:At the time of intervention,the patients’mean age and body weights were 7.5±5.6 years and 29.3±19.1 *** majority of the defects had perimembranous location(24/30),four defects had muscular and two outlet subaortic *** mean effective right-side diameter of the VSDs was 3.6±1.3 *** ventricular fibrillation,device embolization,and hemolysis developed in different patients and were successfully *** of the patients had a complete atrioventricular *** coil was successfully placed in 25/30(83.3%)*** majority of the devices were 10 mm×6 mm(11/25)and 12 mm×8 mm(8/25)in *** patients required the implantation of a second *** follow-up period was 2.1±1.4 *** VSD closure was achieved in 48%of cases immediately after the intervention,74%during 2.1±1.6 months after the procedure,and 81%over *** remaining patients had a trivial residual *** the follow-up,approximately one-third of patients developed trivial aortic and mitral valve regurgitation,and half of the patients acquired trace/mild tricuspid ***(z-score)left ventricular end-diastolic diameter(0.15±0.37 vs.0.92±0.82,p=0.005)and left atrium dimension(0.47±0.58 vs.1.89±1.11,p=0.005),as well as the left atrium to aortic root ratio(1.2±0.1 vs.1.4±0.2,p=0.005)showed a significant decrease over follow-up related to the period before ***:Intervention with Nit-OccludLêVSD coil showed appropriate results regarding VSD closure rate,complications,and chamber *** introduction of t

关键词： Ventricular septal defect transcatheter device children

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