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Mid-term results of percutaneous ventricular septal defect closure with Amplatzer Duct Occluder-II in children

Published online by Cambridge University Press:  20 June 2017

Ozge Pamukcu ,
Nazmi Narin ,
Ali Baykan ,
Suleyman Sunkak ,
Onur Tasci  and
Kazim Uzum
Ozge Pamukcu*
Affiliation:
Division of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
Nazmi Narin
Affiliation:
Division of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
Ali Baykan
Affiliation:
Division of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
Suleyman Sunkak
Affiliation:
Division of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
Onur Tasci
Affiliation:
Division of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
Kazim Uzum
Affiliation:
Division of Pediatric Cardiology, Erciyes University School of Medicine, Kayseri, Turkey
*
Correspondence to: O. Pamukcu, MD, Division Pediatric Cardiology, Erciyes University School of Medicine, Kayseri 38350, Turkey. Tel: +0903522076666-25036; Fax: +0903524375825; E-mail: ozgepamukcu2002@yahoo.com
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Abstract

Aim

The aim of this study was to share the mid-term results of percutaneous ventricular septal defect closure using Amplatzer Duct Occluder-II in children.

Background

Nowadays, percutaneous ventricular septal defect closure is accepted as an alternative to surgery, but so far no ideal device has been developed for this procedure.

Methods

In the study centre, between April, 2011 and October, 2016, the ventricular septal defect of 49 patients was closed percutaneously using the Amplatzer Duct Occluder-II device, and seven of them were <1 year old.

Results

The mean age of patients was 86.8±52.6 months. The mean weight of the patients was 24.3±16 kg. The mean diameter of the defect was 3.7±1.4 mm. Mean fluoroscopy time and total procedure time were 37±19.3 and 74.1±27 minutes, respectively. The types of ventricular septal defects were muscular in six patients, and were perimembranous in the rest of them. We did not face any major complications during the procedure, but one patient was admitted with a complete atrioventricular block in the 6th month of follow-up. The total follow-up period was 66 months.

Conclusion

To our knowledge, our study includes the largest series of paediatric patients whose ventricular septal defect was closed using Amplatzer Duct Occluder-II percutaneously. When the complications during the 66-month follow-up period are taken into consideration, we can state that Amplatzer Duct Occluder-II is a safe and effective device, even in infants aged <1 year.

Keywords

Childrenpercutaneousclosure
Type
Original Articles
Information
Cardiology in the Young , Volume 27 , Issue 9 , November 2017 , pp. 1726 - 1731
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Copyright
© Cambridge University Press 2017 

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