PMID- 38296536
OWN - NLM
STAT- Publisher
LR  - 20240213
IS  - 1347-4820 (Electronic)
IS  - 1346-9843 (Linking)
DP  - 2024 Jan 31
TI  - Procedural Efficiencies and Clinical Outcomes for Transcatheter Device Closure of 
      Perimembranous Ventricular Septal Defects With Different Waist-Length Occluders.
LID - 10.1253/circj.CJ-23-0583 [doi]
AB  - BACKGROUND: Potential differences in complications and/or long-term outcomes of 
      perimembranous ventricular septal defect (pmVSD) closures with 3-mm waist vs. 
      4-mm waist double-disk symmetrical occluders are not known.Methods and Results: A 
      total of 395 consecutive pediatric patients with pmVSD recruited between January 
      2017 and March 2021 underwent successful transcatheter closure using symmetrical 
      pmVSD devices. The final analysis involved 208x3-mm and 172x4-mm cases. The 
      median follow-up was 42 months (range: 12-62 months). A total of 175 
      post-procedure adverse events (AEs) were observed. Most of these AEs were 
      temporary, and there were only 8 major AEs. Compared to the 3-mm waist group, the 
      incidence of residual shunts was significantly higher in the 4-mm waist group 
      (13.4% vs. 6.7%; P=0.030), whereas other AEs showed similar incidences between 
      the 2 groups. Multivariate Cox regression analysis revealed that larger defect, 
      higher ratio between device size and body surface area, and longer procedure time 
      can cause an increased likelihood of AEs, and smaller defect or left disk 
      placement within aneurysmal tissue may reduce it. CONCLUSIONS: Transcatheter 
      closure of pmVSD using a symmetrical double-disk occluder is safe and effective. 
      Compared with a 3-mm waist symmetrical occluder, transcatheter closure with a 
      4-mm waist symmetrical occluder correlated with higher incidences of residual 
      shunts.
FAU - Jiang, Diandong
AU  - Jiang D
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
FAU - Zhang, Yuxin
AU  - Zhang Y
AD  - Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao 
      University.
FAU - Yi, Yingchun
AU  - Yi Y
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
FAU - Zhao, Lijian
AU  - Zhao L
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
FAU - Lv, Jianli
AU  - Lv J
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
FAU - Wang, Jing
AU  - Wang J
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
FAU - Wang, Yan
AU  - Wang Y
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
FAU - Yang, Xiaofei
AU  - Yang X
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
FAU - Zhang, Jianjun
AU  - Zhang J
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
FAU - Han, Bo
AU  - Han B
AD  - Department of Pediatric Cardiology, Shandong Provincial Hospital Affiliated to 
      Shandong First Medical University, Shandong Provincial Clinical Research Center 
      for Children's Health and Disease office.
LA  - eng
PT  - Journal Article
DEP - 20240131
PL  - Japan
TA  - Circ J
JT  - Circulation journal : official journal of the Japanese Circulation Society
JID - 101137683
SB  - IM
OTO - NOTNLM
OT  - 3-mm waist symmetrical occluder
OT  - 4-mm waist symmetrical occluder
OT  - Symmetrical double-disk occluder
OT  - Transcatheter closure
OT  - Ventricular septal defect
EDAT- 2024/02/01 00:42
MHDA- 2024/02/01 00:42
CRDT- 2024/01/31 21:04
PHST- 2024/02/01 00:42 [medline]
PHST- 2024/02/01 00:42 [pubmed]
PHST- 2024/01/31 21:04 [entrez]
AID - 10.1253/circj.CJ-23-0583 [doi]
PST - aheadofprint
SO  - Circ J. 2024 Jan 31. doi: 10.1253/circj.CJ-23-0583.