Hostname: page-component-848d4c4894-wg55d Total loading time: 0 Render date: 2024-05-19T18:21:35.694Z Has data issue: false hasContentIssue false
  • English
  • Français

Transcatheter closure of ventricular septal defects in children less than 10 kg: experience from a tertiary care referral hospital in Eastern India

Part of: Interventional Cardiology Ventricular Septal Defect (VSD)

Published online by Cambridge University Press:  17 May 2021

Mahua Roy ,
Debasree Gangopadhyay Open the ORCID record for Debasree Gangopadhyay [Opens in a new window] ,
Noopur Goyal ,
Savita Murthy ,
Debabrata Nandi Open the ORCID record for Debabrata Nandi [Opens in a new window] ,
Biswajit Bandyopadhyay  and
Joyeeta Dutta
Mahua Roy
Affiliation:
Department of Pediatric Cardiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
Debasree Gangopadhyay*
Affiliation:
Department of Pediatric Cardiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
Noopur Goyal
Affiliation:
Department of Pediatric Cardiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
Savita Murthy
Affiliation:
Department of Pediatric Cardiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
Debabrata Nandi
Affiliation:
Department of Pediatric Cardiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
Biswajit Bandyopadhyay
Affiliation:
Department of Pediatric Cardiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
Joyeeta Dutta
Affiliation:
Department of Pediatric Intensive Care, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, India
*
Author for correspondence: Debasree Gangopadhyay, Department of Pediatric Cardiology, Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata. 124 Mukundapur, Kolkata700099, India. Tel: 9088846746. E-mail: debasreeganguly23@gmail.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To assess the feasibility of percutaneous transcatheter device closure of ventricular septal defects in children weighing less than 10 kg.

Background:

Although percutaneous transcatheter device closure of ventricular septal defect is a well-established method of treatment in older children and adolescents, there is limited data on device closure in small children weighing less than 10 kg. We present our institutional experience of transcatheter VSD closure in children weighing less than 10 kg.

Method:

Medical records were reviewed for 16 children, who were selected for device closure of ventricular septal defects based on the inclusion criteria.

Results:

Out of 65 patients with a diagnosis of ventricular septal defect, 16 children less than 10 kg were attempted for percutaneous device closure. In 13 patients, the device was successfully released, and 3 patients needed surgical closure of the defect. Mean age and weight of the patients were 17.3 ± 12.7 months and 6.8 ± 3.2 kg, respectively. Mean defect size was 6 mm (range 3–10). There was no incidence of device embolisation or heart block or death. Five patients had residual left-to-right shunt immediately after the device release, which got closed by the first month’s follow-up. We had one accidental perforation of right ventricular free wall at the time of crossing of the defect, which was successfully repaired surgically.

Conclusion:

Percutaneous device closure of ventricular septal defect in small children with weight below 10 kg is feasible with good short-term outcome. Careful patient selection is essential for procedural success and to avoid complications.

Keywords

Transcatheter closureventricular septal defectless than 10 kgdevice closure
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 1 , January 2022 , pp. 48 - 54
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Minette, MS, Sahn, DJ Ventricular septal defects. Circulation 2006; 114: 2190–2197. doi: 10.1161/CIRCULATIONAHA.106.618124.CrossRefGoogle ScholarPubMed
Lillehei, CW, Cohen, M, Warden, HE, Ziegler, NR, Varco, RL The results of direct vision closure of ventricular septal defects in eight patients by means of controlled cross circulation. Surg Gynecol Obstet 1955; 101: 446–466.Google ScholarPubMed
Lock, JE, Block, PC, McKay, RG, Baim, DS, Keane, JF Transcatheter closure of ventricular septal defects. Circulation 1988; 78: 361–368.CrossRefGoogle ScholarPubMed
Liu, J, Wang, Z, Gao, L, Tan, HL, Zheng, Q, Zhang, ML A large institutional study on outcomes and complications after transcatheter closure of a perimembranous-type ventricular septal defect in 890 cases. Acta Cardiol Sin 2013; 29: 271–276.Google Scholar
Arora, R Trehan, V, Kumar, A, et al. Transcatheter closure of congenitalventricular septal defects: experience with various devices. J Interv Cardiol 2003; 16: 83–91.9.CrossRefGoogle ScholarPubMed
Narin, N, Pamukcu, O, Tuncay, A, et al. Percutaneous ventricular septal defect closure in patients under 1Year of age. Pediatr Cardiol 2018; 39: 1009–1015. doi: 10.1007/s00246-018-1852-5.CrossRefGoogle Scholar
Pillai, AA, Rangasamy, S, Balasubramonian, VR. Transcatheter closure of moderate to large perimembranous ventricular septal defect. World J Pediatri Congenit Heart Surg 2019; 10: 278–285.CrossRefGoogle Scholar
Diab, KA, Cao, QL, Mora, BN, Hijazi, ZM. Device closure of muscular ventricular septal defects in infants less than one year of age using the Amplatzer devices: Feasibility and outcome. Cathet Cardiovasc Interv 2007; 70: 91–98. doi: 10.1002/ccd.21142.CrossRefGoogle ScholarPubMed
Soriano, ED, Villareal, JA. Outcome of percutaneous transcatheter device closure of ventricular septal defect in children weighing less than 10 kilograms. Pediat Interv Cardiol Res update 2020; 1: 15–28.Google Scholar
Ghosh, S, Mukherji, A, Chattopadhyay, A. Percutaneous closure of moderate to large perimembranous ventricular septal defect in small children using left ventricular mid-cavity approach. Indian Heart J 2020; 72: 570–575. doi: 10.1016/j.ihj.2020.08.016.CrossRefGoogle ScholarPubMed
Carminati, M, Butera, G, Chessa, M, et al. Transcatheter closure of congenital ventricular septal defects: results of the European Registry. Eur Heart J 2007; 28: 2361–2368. doi: 10.1093/eurheartj/ehm314.CrossRefGoogle ScholarPubMed
Butera, G, Carminati, M, Chessa, M, et al. Transcatheter closure of perimembranous ventricular septal defects: early and long-term results. J Am Coll Cardiol 2007; 50; 1189–1195, ISSN 0735-1097. doi: 10.1016/j.jacc.2007.03.068 (http://www.sciencedirect.com/science/article/pii/S0735109707020773).CrossRefGoogle ScholarPubMed
Nguyen, HL, Phan, QT, Doan, DD, et al. Percutaneous closure of perimembranous ventricular septal defect using patent ductus arteriosus occluders. PLoS ONE 2018; 13: e0206535. doi: 10.1371/journal.pone.0206535.CrossRefGoogle Scholar
Lin, M-T, Chen, C-A, Hsu, J-Y, et al. Transcatheter closure of perimembranous ventricular septal defects with Amplatzer Duct Occluders. J Am Coll Cardiol Intv 2017; 10: 2227–2228.CrossRefGoogle ScholarPubMed
Damsky Barbosa, J, Alonso, J, Ferrín, L, et al. Endovascular VSD Closure with Lifetech KONAR-Multifunctional Occluder - Novel Device. Struct Heart Dis 2019; 5(6): 237–247. doi: 10.12945/j.jshd.2020.001.19.Google Scholar
Tanidir, IC, Baspinar, O, Saygi, M, Kervancioglu, M, Guzeltas, A, Odemis, E Use of Lifetech TM Konar- MF, a device for both perimembranous and muscular ventricular septal defects: A multicentre study. Int J Cardiol 2020; 310; 43–50.CrossRefGoogle Scholar
Schubert, S, Kelm, M, Koneti, NR, Berger, F First European experience of percutaneous closure of ventricular septal defects using a new CE marked VSD occluder. EuroIntervention 2019; 15: e242–e243. doi: 10.4244/EIJ-D-18-00867.CrossRefGoogle ScholarPubMed
Haddad, RN, Daou, LS, Saliba, ZS Percutaneous closure of restrictive-type perimembranous ventricular septal defect using the new KONAR multifunctional occluder: Midterm outcomes of the first middle-eastern experience [published online ahead of print, 2019 Dec 30]. Catheter Cardiovasc Interv 2019. doi: 10.1002/ccd.28678.Google Scholar