دورية أكاديمية

[Percutaneous occlusion of interventricular septal defects. Initial experiment].

التفاصيل البيبلوغرافية
العنوان: [Percutaneous occlusion of interventricular septal defects. Initial experiment].
عنوان ترانسليتريتد: Oclusão percutânea das comunicações interventriculares. Experiência inicial.
المؤلفون: Queiróz FJ; Cardiologia Pediátrica e Fetal do Rio de Janeiro, Rio de Janeiro, RJ. fchamie@pobox.com, Rossi Filho RI, Ramos S, Esteves C, Queiróz DS, Machado PR, Tress JC, Horowitz SS, Paupério H, Victer R
المصدر: Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2005 Sep; Vol. 85 (3), pp. 174-9. Date of Electronic Publication: 2005 Sep 29.
نوع المنشور: Journal Article
اللغة: Portuguese
بيانات الدورية: Publisher: Sociedad Brasileira De Cardiologia Country of Publication: Brazil NLM ID: 0421031 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0066-782X (Print) Linking ISSN: 0066782X NLM ISO Abbreviation: Arq Bras Cardiol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Sao Paulo : Sociedad Brasileira De Cardiologia
مواضيع طبية MeSH: Prostheses and Implants*, Heart Septal Defects, Ventricular/*surgery , Prosthesis Implantation/*methods, Adolescent ; Adult ; Cardiac Catheterization ; Child ; Child, Preschool ; Echocardiography ; Female ; Heart Septal Defects, Ventricular/diagnostic imaging ; Humans ; Infant ; Male ; Treatment Outcome
مستخلص: Objective: To assess the initial experiment with percutaneous closure of interventricular septal defects (IVSD), especially perimembranous IVSD (PMIVSD) with the new Amplatzer prosthesis.
Methods: Eleven patients were submitted to the procedure. Six of them had perimembranous IVSD (PMIVSD) and five with muscular IVSD (MIVSD). Two showed repeated respiratory tract infections and had low ponderal gain. One of them showed a previous history of infectious endocarditis. The others were asymptomatic and were selected through transthoracic echocardiography (TTE).
Results: In MIVSD group (n = 5), a patient had apical IVSD, two had medioseptal defects and two patients showed multiple defects. In this group, an interatrial septal defects (IASD) (Amplatzer Septal Occluder) and five prostheses for MIVSD (Amplatzer VSD-MUSC Occluder), and one patient received two devices. All implants were well-succeeded and went by without complications. In PMIVSD group (n = 6), two patients had membranous septal aneurysms. In five, we identified two orifices with selective angiography. We used arterial canal Amplatzer prostheses (ACP) (Amplatzer Duct Occluder) in 1 patient and specific prostheses for PMIVSD in the others (Amplatzer VSD-MEMB Occluder). A perimembranous occluder migrated immediately after released, being removed from the descending aorta. Another patient showed total atrioventricular block (TAVB), which reversed after corticotherapy.
Conclusion: The procedure is technically complex and must be performed only in specialized centers. Despite of that, it showed safe and efficient in the selected cases, and it can be provided as an alternative to traditional surgical treatment.
تواريخ الأحداث: Date Created: 20051004 Date Completed: 20060327 Latest Revision: 20190606
رمز التحديث: 20240628
DOI: 10.1590/s0066-782x2005001600005
PMID: 16200263
قاعدة البيانات: MEDLINE
الوصف
تدمد:0066-782X
DOI:10.1590/s0066-782x2005001600005