Doubly committed sub arterial ventricular septal dEffect device closure using nit-occlud® pda-r device: initial experience in Pakistan

Amjad Mehmood; Khurram Akhter; Nadeem Sadiq; Mehboob Sultan; Hajira Akbar

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Doubly committed sub arterial ventricular septal dEffect device closure using nit-occlud® pda-r device: initial experience in Pakistan

Author(s)

Amjad Mehmood Armed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Khurram Akhter Armed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Nadeem Sadiq Armed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Mehboob Sultan Army Cardiac Centre, Lahore, Pakistan

Hajira Akbar Armed Forces Institute of Cardiology/National Institute of Heart Disease (AFIC/NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Abstract

Objective: To assess the suitability of transcatheter closure of doubly committed subarterial ventricular septal defect (DCSAVSD) with PDA-R device for the first time in Pakistan. Study Design: Descriptive cross-sectional study. Place and Duration of Study: Paeds Cardiology department AFIC/NIHD Rawalpindi, from Dec 2018 to Jul 2019. Methodology: A total of ten patients with DCSAVSD more than three years of age with no other associated congenital cardiac malformations were subjected to device closure. Few patients had mild aortic valve regurgitation. Device used was PDA-R pfm-nitocclud which is preloaded to the delivery system. The procedure was carried out under general anesthesia and monitoring of heart rate and hemodynamics. Preliminary detailed echocardiogram was done to assess the suitability of device closure. All patients were followed post procedure. Results: Complete closure was attained in all patients with no residual flow. No mortality was faced. Two patients had brief episode of heat block during the arteriovenous loop creation which subsided at the end of procedure. Conclusion: Patients with DCSAVSD can be closed effectively with PDA-R device. Selection of cases should be adequate matching the VSD with the device size. This procedure is good alternate to surgical closure avoiding scar, cost and hospital stay.

Publication Details

Page(s) 404-408

DOI DOI not available

Published Journal: Pakistan Armed Forces Medical Journal, Volume: 69, Issue: 3, Year: 2019

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Keywords

Aortic regurgitation, Doubly committed subarterial ventricular septal defect, PDA-R.

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