TRANSCATHETER OCCLUSION OF ANEURYSMAL SUBAORTIC VENTRICULAR SEPTAL DEFECTS BY MEANS OF NIT-OCCLUD (PFM) DETACHABLE COILSPRIMARY EXPERIENCE IN A TERTIARY CENTER

Authors

  • Dr. Khurram Akhtar Armed Forces Institute of Cardiology (AFIC)/National Institute of Heart Diseases (NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Dr. Syed Asif Akbar Shah Armed Forces Institute of Cardiology (AFIC)/National Institute of Heart Diseases (NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan,
  • Dr. Amjad Mehmood Armed Forces Institute of Cardiology (AFIC)/National Institute of Heart Diseases (NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan,
  • Dr. Khaled Rifat Abdel Megud Armed Forces Institute of Cardiology (AFIC)/National Institute of Heart Diseases (NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan,
  • Dr. Aziz Ahmed Beni Suef University Cairo, Egypt
  • Dr. Nadeem Sadiq Armed Forces Institute of Cardiology (AFIC)/National Institute of Heart Diseases (NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Dr. Mehboob Sultan Armed Forces Institute of Cardiology (AFIC)/National Institute of Heart Diseases (NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Dr. Hajira Akbar Armed Forces Institute of Cardiology (AFIC)/National Institute of Heart Diseases (NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Dr. Abida Akhtar Khalil Combined Military Hospital Sargodha/National University of Medical Sciences (NUMS) Pakistan
  • Dr. Kamal Saleem Armed Forces Institute of Cardiology (AFIC)/National Institute of Heart Diseases (NIHD)/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Keywords:

Aneurysmal sub aortic perimembranous, Device embolisation, Heart block, Intravascular hemolysis, Nit-Occlud (PFM) detachable Coils, Percutaneous occlusion, Ventricular septal defect

Abstract

Objective: To share a single centre experience of transcatheter device closure of subaortic aneurysmal ventricular septal defects with Nit-Occlud (PFM) detachable Coils at a tertiary cardiac center in Pakistan.

Study Design: A retrospective case series study.

Place and Duration of Study: AFIC/NIHD Rawalpindi Pakistan, from Jun 2018 to Oct 2018.

Material and Methods: A retrospective analysis of all consecutive patients had percutaneous occlusion of aneurysmal sub aortic perimembranous VSD with Nit-Occlud (PFM) detachable Coils was carried out to assess its immediate and short term efficacy and safety.

Results: 12 patients (pts) had aneurysmal per-membranous (PM) VSD were enrolled. In 11 patients successful VSD closure was performed. Mean age of patients was 8 ± 5.7 years. Mean procedural time was 52.69 ± 12 mins. Total fluoroscopy time was 15 ± 8.5 min. Contrast had meant of 54 ± 19.6 ml. 5 were males and 7 patients were females (M:F, 0.8:1). 4 pt’s (36.3%) had mild to moderate residual shunts. Closure rate was 81.8% after 1 and 4 months. Onept’s had immediate device retrieval, 2 (18.1%) had transient IV hemolysis and 2 (18.1%) had persistent severe IV hemolysis. None of our patients had heart blocks, device embolisation or infective endocarditis during a mean follow-up period of 2 months (range1 to 4 months).

Conclusion: In selected cases VSD closure with Nit-Occlud detachable Coils is safe and feasible with a minimal risk of side effects like heart block. Close monitoring is needed for intravascular hemolysis in patients having residual shunts in the immediate post procedure period.

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Published

09-05-2019

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Original Articles

How to Cite

1.
Akhtar DK, Shah DSAA, Mehmood DA, Megud DKRA, Ahmed DA, Sadiq DN, et al. TRANSCATHETER OCCLUSION OF ANEURYSMAL SUBAORTIC VENTRICULAR SEPTAL DEFECTS BY MEANS OF NIT-OCCLUD (PFM) DETACHABLE COILSPRIMARY EXPERIENCE IN A TERTIARY CENTER. Pak Armed Forces Med J [Internet]. 2019 May 9 [cited 2024 Dec. 25];69(Suppl 1):S48-52. Available from: https://pafmj.org/PAFMJ/article/view/2818