Percutaneous punctured transcatheter device closure of ventricular septal defect
10.3760/cma.j.issn.1001-4497.2017.10.001
- VernacularTitle:经皮胸前穿刺封堵室间隔缺损的近期效果
- Author:
Xuming MO
1
;
Jirong QI
;
Wei PENG
;
Kaihong WU
;
Zhulun ZHUANG
;
Zhiqi WANG
;
Yuzhong YANG
;
Yu FENG
;
Di YU
;
Weisong ZUO
Author Information
1. 210008,南京医科大学附属儿童医院心胸外科 江苏省先心病诊疗中心
- Keywords:
Ventricular septal defect;
Percutaneous punctured;
Transcatheter device closure;
Residual shunt
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2017;33(10):577-579
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of percutaneous puncture for ventricular septal defect(VSD).Methods From March 2015,we did percutaneous punctured transcatheter device closure of VSD for 22 patients.The patients included 15 males and 7 females with age from 2 years 6 months to 11 years 7 months, weight from 13.5 kg to 44.0 kg.Among 22 pa-tients,6 were diagnosed with residual shunt after VSD repair, with size of residual shunt from 4.8 mm to 7.0 mm.Residual shunts are perimembranous, conoventricular and intracristal.The other 16 patients were diagnosed with isolated VSD,with de-fect size from 3.5 to 5.1 mm.For all patients,we punctured directly through the right ventricular surface into the right ventri-cle in the 3th or 4th intercostal space of the left sternal border.Next, we succeeded to extract the guide wire after inserting a conveyor tube for 21 patients.Subsequently,7-10 mm VSD closure device were delivered via the conveyor tube.Only one patient was changed to perform occlusion of VSD through chest small incision due to improper selection of punctured position. Results A total of 21 closure devices were placed for 21 patients.18 of them are equilateral device,and 3 are decentered de-vice,with size from 5 mm to 10 mm.There were small amount of pericardial effusion in 4 patients using TEE examination,and no future treat was performed after observation.For one-year follow-up, all patients have recovered very well.Conclusion Percutaneous punctured transcatheter device closure fits for treatment for children with residual shunt after VSD repair and isola-ted VSD.It has a good recent result.
