{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T10:48:13Z","timestamp":1697453293199},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2006,11,3]],"date-time":"2006-11-03T00:00:00Z","timestamp":1162512000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There is only limited experience of interventional closure of perimembranous ventricular septal defects (pmVSDs), particularly on the long\u2010term follow\u2010up. This is a report on our long\u2010term results after transcatheter closure of pmVSDs using the Cardioseal, Starflex, or Rashkind devices. <jats:styled-content>Patients<\/jats:styled-content>: Between 1993 and 2005, we performed interventional occlusions of pmVSDs in 18 patients. The size of the defect ranged between 4 and 8.5 mm, <jats:italic>Q<\/jats:italic><jats:sub>p<\/jats:sub>\/<jats:italic>Q<\/jats:italic><jats:sub>s<\/jats:sub> was calculated between 1.3 and 2.2. Except for two, the patients had no other structural heart defect. In the early days, we used the Rashkind PDA occluder (17 mm) in seven, followed by the Cardioseal device (17 mm) in nine, and the 23 mm Starflex device in two patients. <jats:styled-content>Results<\/jats:styled-content>: Interventional closure of the defects was performed successfully in all patients without any complication during the procedure. Fluoroscopy times were 11.8\u201353.7 min (median 28.65 min). We achieved a complete closure in 13 patients, three patients with recently implanted devices still show minimal shunting. In two patients the occluder had to be removed surgically because of embolization into the pulmonary artery and significant residual shunting resulting in severe hemolysis in the second patient. In long\u2010 (mean 10.7 years) and short\u2010term (mean 0.85 years) follow\u2010up we have not observed any hemolysis, arrhythmias, device dislocations, or device\u2010related aortic or tricuspid regurgitation. <jats:styled-content>Conclusion<\/jats:styled-content>: Transcatheter closure of small pmVSDs using non\u2010selfcentering devices can be performed successfully. Long\u2010term follow\u2010up investigations show encouraging results. Complications like device\u2010embolization and significant residual shunting occur in the presence of large defects and\/or concomitant malformations. \u00a9 2006 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/ccd.20766","type":"journal-article","created":{"date-parts":[[2006,11,3]],"date-time":"2006-11-03T23:16:50Z","timestamp":1162595810000},"page":"936-941","source":"Crossref","is-referenced-by-count":2,"title":["Transcatheter closure of perimembranous ventricular septal defects using umbrella devices"],"prefix":"10.1002","volume":"68","author":[{"given":"Ronald","family":"Handke","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Jux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dietmar","family":"Schranz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,11,20]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.43.3.323"},{"key":"e_1_2_6_3_2","first-page":"11","article-title":"The direct\u2010vision intracardiac correction of congenital anomalies by controlled cross\u2010circulation. Results in 32 patients with ventricular septal defects, tetralogy of Fallot, and atrioventricularis communis defects","volume":"38","author":"Lillehei CW","year":"1955","journal-title":"Surgery"},{"key":"e_1_2_6_4_2","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1542\/peds.27.6.961","article-title":"Repair of ventricular septal defect in infancy","volume":"27","author":"Kirklin JW","year":"1961","journal-title":"Paediatrics"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.78.2.361"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2004.09873.x"},{"key":"e_1_2_6_7_2","first-page":"1592","article-title":"Transcatheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder: A short\u2010term evaluation","volume":"19","author":"Hu HB","year":"2004","journal-title":"Zhonghua Yi Xue Za Zhi"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1586\/14779072.2.2.253"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.89.8.918"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8183.2003.01007.x"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10292"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.10406"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-004-1040-x"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8183.2003.08006.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(99)70122-5"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.20766","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.20766","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T10:06:25Z","timestamp":1697450785000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.20766"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,11,20]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,12]]}},"alternative-id":["10.1002\/ccd.20766"],"URL":"https:\/\/doi.org\/10.1002\/ccd.20766","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,11,20]]}}}