Interventional Treatment of Muscular Ventricular Septal Defect in Children
10.12259/j.issn.2095-610X.S20240307
- VernacularTitle:儿童肌部室间隔缺损的介入治疗研究
- Author:
Wei HU
1
;
Jinnan LI
;
Wei YANG
;
Li SU
;
Zhuo YU
;
Zhisong CHEN
Author Information
1. 昆明医科大学第一临床医学院心脏内科,云南 昆明 650032
- Keywords:
Ventricular septal defect;
Muscule;
Occluder;
Domestic;
Percutaneous intervention;
Congenital heart disease;
Children
- From:
Journal of Kunming Medical University
2024;45(3):48-53
- CountryChina
- Language:Chinese
-
Abstract:
Objects To explore the effectiveness and safety of using the Cardio-O-Fix Plug occluder in the treatment of muscular ventricular septal defect(mVSD)in children.Methods 14 patients with mVSD were taken to the cardiology department of First Affiliated Hospital of Kunming Medical University from July 2015 to June 2021 as research subjects.They were divided into two groups:14 children who received Cardi-O-Fix Plug occluder as the experimental group,and 10 children who received Cardi-O-O-Fix mVSD occluder as the control group.Electrocardiogram and transthoracic echocardiography were used to evaluate the occlusive efficacy and incidence of complications 1 day after surgery and 1 month,3 months,and 6 months of follow-up.Results Among the 24 pediatric patients,22 cases were successfully occluded,and 2 cases were unsuccessful(1 in the experi-mental group and 1 in the control group).The success rate of the experimental group was 92.8%(13/14),while the success rate of the control group was 90.0%(9/10).The average surgical duration of the experimental group was(71.93±14.85)minutes,while the average surgical duration of the control group was(90.70±19.78)minutes.There was a significant statistical difference between the two groups(P<0.05).Both the experimental group and the control group did not experience serious complications during surgery and follow-up.There was no significant difference in cardiac ultrasound indicators(including left ventricular ejection fraction,left ventricular end-diastolic diameter,and pulmonary artery pressure)between the two groups at different time points(P>0.05).Conclusion Trans-catheter closure of mVSD using Cardi-O-Fix Plug occluder in children is both safe and effective.The incidence of arrhythmia is low in the short,medium and long term.
