Efficacy analysis of esophageal ultrasound-guided percutaneous femoral artery closure for ventricular septal defect_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

SUN Bao ¹ ,  CHENG Duan ¹ , LI Bo ² , HE Guibao ¹ , WANG Haifeng ¹ , Ahati ¹ , Elias ¹ , SHENG Xi ¹ , LI Jinpeng ¹

1. Department of Cardiac Surgery, Xinjiang Cardiac and Neurovascular Disease Hospital, Urumqi, 830011, P.R.China;
2. Department of Ultrasound, Xinjiang Cardiac and Neurovascular Disease Hospital, Urumqi, 830011, P.R.China;

Corresponding author：

CHENG Duan, Email: chengduan@126.com

Keywords：

Ventricular septal defect; transesophageal echocardiography; femoral artery; interventional therapy

DOI：

10.7507/1007-4848.202005036

Video：

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Objective To investigate the effectiveness and safety of esophageal ultrasound-guided percutaneous femoral artery closure of ventricular septal defect (VSD).Methods The clinical data of 24 patients with congenital VSD in our hospital from March 2017 to December 2019 were retrospectively analyzed, including 6 males and 18 females, with a median age of 12 (3-42) years, weight of 32 (12-91) kg, and VSD diameter of 4 (3-7) mm. There were 3 patients with VSD combined with atrial septal defect.Results Twenty-four patients successfully underwent interventional closure of percutaneous femoral artery under esophageal ultrasound guidance, and the position and shape of the occluders were good. The operation time was 45 (39-54) min, and the waist size of the occluders was 7 (5-12) mm. Among the patients, 14 patients used symmetric ventricular occlusion devices, 8 patients used asymmetric ventricular occlusion devices, and 2 patients used ventricular occlusion muscle occluders. Small amount of residual shunt occurred in 2 patients after the operation and it disappeared 3 months after the operation. One patient with right bundle branch block, which disappeared after 1 week of observation. There were no complications such as occluder closure, pericardial effusion or valve regurgitation during the perioperative period. During the follow-up period [3-18 (9.25±5.04) months], no serious complication occurred.Conclusion Transesophageal ultrasound-guided transfemoral artery occlusion for VSD is simple and safe, and it avoids the damage of radiation and contrast medium. It has advantages over traditional percutaneous interventional occlusion therapy.

Citation： SUN Bao, CHENG Duan, LI Bo, HE Guibao, WANG Haifeng, Ahati, Elias, SHENG Xi, LI Jinpeng. Efficacy analysis of esophageal ultrasound-guided percutaneous femoral artery closure for ventricular septal defect. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(12): 1471-1475. doi: 10.7507/1007-4848.202005036 Copy

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1. 王鹏高, 张军喜, 蒋丽芳, 等. 先天性室间隔缺损危险因素分析. 新乡医学院学报, 2018, 35(12): 1064-1067.
2. 李海洋, 戴璐, 许士俊, 等. 成人先天性房间隔缺损或室间隔缺损合并升主动脉扩张的治疗. 中华胸心血管外科杂志, 2018, 34(6): 356-358.
3. 刘宇航, 王宁, 赵烨, 等. 经胸微创介入术治疗小儿先天性心脏病复合畸形的疗效. 中华实用儿科临床杂志, 2018, 33(13): 1018-1021.
4. 伍洋子, 谢育梅, 钱明阳, 等. 儿童经皮封堵肌部室间隔缺损的中期疗效评价. 中华实用儿科临床杂志, 2017, 32(13): 974-977.
5. 胡盛寿, 潘湘斌, 常谦. 常见心血管疾病经外科途径进行介入诊疗的专家共识. 中国循环杂志, 2017, 32(2): 105-119.
6. 国家卫生健康委员会国家心外介入质控专家组, 国家心血管病中心医疗质量控制中心心外介入专家组. 单纯超声心动图引导经皮介入技术中国专家共识. 中国循环杂志, 2018, 33(10): 943-952.
7. 俞劲, 施旭聪, 张泽伟, 等. 食管超声引导下经肋间超微切口封堵小儿膜部室间隔缺损. 中华胸心血管外科杂志, 2017, 33(7): 400-403.
8. 白家瑢, 吴琳. 儿童先天性心脏病介入治疗中的辐射防护. 中华儿科杂志, 2017, 55(10): 796-799.
9. 杜鸿昌, 王华春, 陈淑静. 经导管介入术与开胸修补术及镶嵌对室间隔缺损患儿生存质量的影响. 河北医药, 2018, 40(6): 906-910.
10. 车轰, 周汝元, 何维来, 等. 超声引导下经胸微创膜周部室间隔缺损封堵术的效果. 安徽医学, 2018, 39(7): 804-806.
11. Wang S, Ouyang W, Liu Y, et al. Transcatheter perimembranous ventricular septal defect closure under transthoracic echocardiographic guidance without fluoroscopy. J Thorac Dis, 2018, 10(9): 5222-5231.
12. Zhao LJ, Han B, Zhang JJ, et al. Transcatheter closure of congenital perimembranous ventricular septal defect using the Amplatzer duct occluder 2. Cardiol Young, 2018, 28(3): 447-453.
13. Mandal KD, Su D, Pang Y. Long-term outcome of transcatheter device closure of perimembranous ventricular septal defects. Front Pediatr, 2018, 6: 128.
14. 韩宇, 高传玉, 徐红党, 等. 单纯食管超声引导经股动脉逆行封堵室间隔缺损的可行性. 中华医学杂志, 2016, 96(14): 1131-1133.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Efficacy analysis of esophageal ultrasound-guided percutaneous femoral artery closure for ventricular septal defect

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