E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Article 


Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience

Mohammed H. A. Mohammed, Omar Tamimi, Mansour Al-Mutairi, Ahmed Alomrani.

Abstract
The objective of this study was to review the outcome of patients who underwent transcatheter closure of ventricular septal defect (VSD) using Nit-Occlud® Leˆ VSDCoil. A retrospective study was carried out at King Abdulaziz Cardiac Center on all paediatric patients who underwent interventional VSD closure, during the period from 2011 and 2016. Data were collected, including demographic information, cardiac diagnosis, pre-operative diagnosis, intraoperative findings and postoperative events. Out of 46 patients, who were evaluated for VSD device closure, 17 of them were excluded; 24 patients out of 29 had successful closure of VSD using Nit-Occlud Leˆ VSDCoil (success rate of 83%), and five cases were referred to surgery. The age group was from 2 years up to 18 years. Almost 90% of VSD was the perimembranous (PM) type (26 patients) and 3 patients (10%) with muscular VSD. Ten of the 26 PM VSDs had TV accessory tissue partially covering the VSD defects. The hemodynamic assessment showed pulmonary blood flow to systemic blood flow ratio (Qp:Qs) > 1.5 in almost all the patients who underwent defect closure. Immediate closure of the defect was achieved in 11/24 patients (45%). In five additional patients, there was a tiny residual and eight with a small residual. With 6 months of follow-up, only six patients remained with tiny residual VSD defects. The Nit-Occlud® Leˆ VSD-Coil device has minimal effects on the aortic and tricuspid valves, and there was no permanent atrioventricular block, especially in patients with PM VSDs. Patients with a residual shunt should be followed, especially for haemolysis.

Key words: Ventricular septal defect closure; Perimembranous VSD; Muscular VSD; Congenital heart defects; Nit-Occlud® Le-VSD-Coil.


 
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How to Cite this Article
Pubmed Style

Mohammed MHA, Tamimi O, Al-Mutairi M, Alomrani A. Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience. Sudan J Paed. 2022; 22(2): 172-178. doi:10.24911/SJP.106-1610253757


Web Style

Mohammed MHA, Tamimi O, Al-Mutairi M, Alomrani A. Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience. https://sudanjp.com//?mno=42755 [Access: February 06, 2024]. doi:10.24911/SJP.106-1610253757


AMA (American Medical Association) Style

Mohammed MHA, Tamimi O, Al-Mutairi M, Alomrani A. Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience. Sudan J Paed. 2022; 22(2): 172-178. doi:10.24911/SJP.106-1610253757



Vancouver/ICMJE Style

Mohammed MHA, Tamimi O, Al-Mutairi M, Alomrani A. Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience. Sudan J Paed. (2022), [cited February 06, 2024]; 22(2): 172-178. doi:10.24911/SJP.106-1610253757



Harvard Style

Mohammed, M. H. A., Tamimi, . O., Al-Mutairi, . M. & Alomrani, . A. (2022) Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience. Sudan J Paed, 22 (2), 172-178. doi:10.24911/SJP.106-1610253757



Turabian Style

Mohammed, Mohammed H. A., Omar Tamimi, Mansour Al-Mutairi, and Ahmed Alomrani. 2022. Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience. Sudanese Journal of Paediatrics, 22 (2), 172-178. doi:10.24911/SJP.106-1610253757



Chicago Style

Mohammed, Mohammed H. A., Omar Tamimi, Mansour Al-Mutairi, and Ahmed Alomrani. "Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience." Sudanese Journal of Paediatrics 22 (2022), 172-178. doi:10.24911/SJP.106-1610253757



MLA (The Modern Language Association) Style

Mohammed, Mohammed H. A., Omar Tamimi, Mansour Al-Mutairi, and Ahmed Alomrani. "Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience." Sudanese Journal of Paediatrics 22.2 (2022), 172-178. Print. doi:10.24911/SJP.106-1610253757



APA (American Psychological Association) Style

Mohammed, M. H. A., Tamimi, . O., Al-Mutairi, . M. & Alomrani, . A. (2022) Outcome of ventricular septal defect closure with the Nit-Occlud® Le VSD-Coil: single centre experience. Sudanese Journal of Paediatrics, 22 (2), 172-178. doi:10.24911/SJP.106-1610253757





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