{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T22:02:07Z","timestamp":1764194527810,"version":"3.37.3"},"reference-count":22,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T00:00:00Z","timestamp":1612310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81800290"],"award-info":[{"award-number":["81800290"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004735","name":"Hunan Provincial Natural Science Foundation of China","doi-asserted-by":"crossref","award":["2019JJ40441"],"award-info":[{"award-number":["2019JJ40441"]}],"id":[{"id":"10.13039\/501100004735","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004543","name":"China Scholarship Council","doi-asserted-by":"publisher","award":["CSC201906370239"],"award-info":[{"award-number":["CSC201906370239"]}],"id":[{"id":"10.13039\/501100004543","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2002<\/jats:title>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The feasibility of mini-invasive closure of perimembranous ventricular septal defects has been proven, but can cause surgical incision or sternum injury. A relevant but, to date, unanswered question is whether there exists a treatment without surgical trauma, radiation exposure and arterial complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>From May 2017 to January 2020, a total of 449 patients with perimembranous ventricular septal defect [mean age 5.0\u2009\u00b1\u20096.1\u2009years (range 0.8\u201352.0\u2009years)] were involved in this study and underwent 2 different echocardiography-guided operative procedures [percutaneous device closure (group A) or percardiac device closure (group B)] based on the patients\u2019 or their parents\u2019 choice. The clinical data were collected and a retrospective analysis was performed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Fifty-five (96.5%) cases were successfully occluded in group A, and 2 (3.5%) patients were converted to percardiac device closure; 379 (96.7%) patients in group B underwent percardiac device closure, and 13 patients (3.3%) were turned to open-heart surgery after occlusion procedure failure. There were statistically significant differences (P\u2009&amp;lt;\u20090.05) between the 2 groups in operation time, postoperative hospitalization time and blood transfusion requirement. No acute complications or severe adverse events (death, valve injury, complete atrioventricular block and embolism) occurred either in the early period or during the follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Percutaneous device closure can achieve the same validity and safety as percardiac device closure for treating perimembranous ventricular septal defects with a more rapid recovery and less trauma.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezab015","type":"journal-article","created":{"date-parts":[[2021,1,9]],"date-time":"2021-01-09T07:44:15Z","timestamp":1610178255000},"page":"1304-1311","source":"Crossref","is-referenced-by-count":5,"title":["Results of two different echocardiography-guided approaches to closure of perimembranous ventricular septal defects"],"prefix":"10.1093","volume":"59","author":[{"given":"Haisong","family":"Bu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yifeng","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Echocardiography, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shijun","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wancun","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Echocardiography, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueyang","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8708-6761","authenticated-orcid":false,"given":"Tianli","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,2,3]]},"reference":[{"key":"2021061420081329700_ezab015-B1","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1016\/S0735-1097(02)01886-7","article-title":"The incidence of congenital heart disease","volume":"39","author":"Hoffman","year":"2002","journal-title":"J Am Coll Cardiol"},{"key":"2021061420081329700_ezab015-B2","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/S0003-4975(10)64563-8","article-title":"Early and late results of closure of ventricular septal defect in infancy","volume":"24","author":"Rein","year":"1977","journal-title":"Ann Thorac Surg"},{"key":"2021061420081329700_ezab015-B3","doi-asserted-by":"crossref","first-page":"2361","DOI":"10.1093\/eurheartj\/ehm314","article-title":"Transcatheter closure of congenital ventricular septal defects: results of the European registry","volume":"28","author":"Carminati","year":"2007","journal-title":"Eur Heart J"},{"key":"2021061420081329700_ezab015-B4","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1016\/j.jacc.2007.03.068","article-title":"Transcatheter closure of perimembranous ventricular septal defects: early and long-term results","volume":"50","author":"Butera","year":"2007","journal-title":"J Am Coll Cardiol"},{"key":"2021061420081329700_ezab015-B5","first-page":"804","article-title":"Safety and efficacy of percutaneous intervention for children with combined congenital heart abnormality solely guided by transthoracic echocardiography]","volume":"46","author":"Zhao","year":"2018","journal-title":"Zhonghua Xin Xue Guan Bing Za Zhi"},{"key":"2021061420081329700_ezab015-B6","doi-asserted-by":"crossref","first-page":"2248","DOI":"10.1161\/01.CIR.84.5.2248","article-title":"Guidelines for pediatric therapeutic cardiac catheterization. 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