ISSN 2149-2263 | E-ISSN 2149-2271 Home      
 
Volume : 18 Issue : 2 Year: 2017
Current Issue Archive Popular Article Ahead of Print

   
Quick Search





 
Directly ventricular septal defect closure without using arteriovenous wire loop: Our adult case series using transarterial retrograde approach [Anatol J Cardiol]
Anatol J Cardiol. 2017; 17(6): 461-468 | DOI: 10.14744/AnatolJCardiol.2017.7507  

Directly ventricular septal defect closure without using arteriovenous wire loop: Our adult case series using transarterial retrograde approach

Nihat Pekel1, Ertuğrul Ercan1, Mehmet Emre Özpelit1, Ferhat Özyurtlu2, Akar Yılmaz1, Caner Topaloğlu1, Serkan Saygı1, Serkan Yakan3, İstemihan Tengiz1
1Department of Cardiology, İzmir Medicalpark Hospital; İzmir-Turkey
2Department of Cardiology, Private Grandmedical Hospital; Manisa-Turkey
3Department of Cardiology, Private Kardiya Cardiology Branch Center; İzmir-Turkey

Objective: The standard transcatheter ventricular septal defects (VSD) closure procedure is established with arteriovenous (AV) loop and is called as antegrade approach. The directly retrograde transarterial VSD closure without using AV loop might be better option as shortens the procedure time and decreases radiation exposure.
Methods: Our series consist of twelve sequential adult cases with congenital VSDs (seven with perimembranous, four with muscular, one with postoperative residuel VSD). The mean age was 26.9 (Range 18–58), the mean height was 168.75 cm (Range 155–185cm), and the mean body mass index was 23.4 (Range 17.3–28.4). Maximum and minimum defect sizes were 10 and 5 mm and the mean defect size was 6.24 mm. The procedure was performed with left heart catheterization and advancing the delivery sheath over the stiff exchange wire then VSD occlusion from left side.
Results: The defects were successfully closed with this technique in eleven patients. In sixth patient, the defect could not be cannulated by the delivery sheath, as the tip of the sheath did not reach the defect and VSD was closed with same sheath by standard transvenous approach u- sing AV loop. We didn’t encounter any complication releated to semilunar or atrioventricular valves. Atrioventricular conduction system was not affected by the procedure in any patients. The median procedure and fluoroscopy times were 66 and 16.5 minutes respectively.
Conclusion: Transarterial retrograde VSD closure without using AV loop simplifies the procedure, decreases the radiation exposure, and short- ens the procedure time. The only limitation in adult patients is delivery sheath length. (Anatol J Cardiol 2017; 17: 000-00)

Keywords: ventricular septal defects, catheterization closure devices


Nihat Pekel, Ertuğrul Ercan, Mehmet Emre Özpelit, Ferhat Özyurtlu, Akar Yılmaz, Caner Topaloğlu, Serkan Saygı, Serkan Yakan, İstemihan Tengiz. Directly ventricular septal defect closure without using arteriovenous wire loop: Our adult case series using transarterial retrograde approach. Anatol J Cardiol. 2017; 17(6): 461-468

Corresponding Author: Ertuğrul Ercan, Türkiye


TOOLS
Full Text PDF
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar




 
 
KARE Publishing | Copyright © 2016 Turkish Society of Cardiology