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274811

Transcatheter Device Closure of Ventricular Septal Defect in Children: A Retrospective Study at Pediatric Cardiac Center, Children’s Hospital, Ain Shams University

Article

Last updated: 24 Dec 2024

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Abstract

Background: Twenty percent of all isolated congenital cardiac abnormalities in children are due to ventricular septal defect (VSD). Congestive heart failure, failure to thrive, enlargement of the left atrium and left ventricle, or high pulmonary artery pressures are common indications for transcatheter closure of a moderately sized VSD (or both). Objective: This study aimed to study the safety, efficacy, and outcome of transcatheter closure of VSDs in Paediatric Cardiac Catheter Unit in children's Hospital, Ain Shams University. Subjects and Methods: This retrospective cohort study took place at Children's Hospital, Ain Shams University from January 2018 to January 2021 on 35 children with VSD. All VSD patients who underwent diagnostic or interventional cardiac catheterization in the last 3 years were recruited. Medical history, physical exam, pre-intervention investigation, or procedural data were collected from patient records. Results: In 17 patients (48.6%), ADO II was employed, followed by muscle amplatzer VSD, PDA, and ADO I. (5.7 %). One patient (2.9%) experienced hemolysis and blood transfusion. The percentage of ADOI devices in complicated patients was statistically higher than in non-complicated patients (p = 0.001), but there was no difference in PDA, ADOII, or muscle amplatzer devices. Conclusion: Transcatheter closure of congenital VSDs is successful. Transcatheter closure is a feasible and practical treatment for different VSD shapes.  

DOI

10.21608/ejhm.2022.274811

Keywords

VSD, Transcatheter, Cardiac, Pediatrics

Authors

First Name

Doaa Shaaban

Last Name

Abdel Latif

MiddleName

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Affiliation

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Email

dooaashaaban@gmail.com

City

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Orcid

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First Name

Nevin Mohamed

Last Name

Mamdouh

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Eman Mohamed

Last Name

EL Sayed

MiddleName

-

Affiliation

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Email

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City

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Orcid

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Volume

89

Article Issue

2

Related Issue

37472

Issue Date

2022-10-01

Receive Date

2022-12-18

Publish Date

2022-10-01

Page Start

7,429

Page End

7,434

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_274811.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=274811

Order

197

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Transcatheter Device Closure of Ventricular Septal Defect in Children: A Retrospective Study at Pediatric Cardiac Center, Children’s Hospital, Ain Shams University

Details

Type

Article

Created At

22 Jan 2023