Cargando…
Hybrid approach for closure of muscular ventricular septal defects
BACKGROUND: The complexity of ventricular septal defects in early infancy led to development of new mini-invasive techniques based on collaboration of cardiac surgeons with interventional cardiologists, called hybrid procedures. Hybrid therapies aim to combine the advantages of surgical and interven...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3735373/ https://www.ncbi.nlm.nih.gov/pubmed/23892911 http://dx.doi.org/10.12659/MSM.883985 |
_version_ | 1782279632357163008 |
---|---|
author | Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radoslaw Steffek, Mariusz Juscinski, Jacek Sroka, Mariusz Fiszer, Roland Sendrowska, Aneta Gierat-Haponiuk, Katarzyna Maruszewski, Bohdan |
author_facet | Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radoslaw Steffek, Mariusz Juscinski, Jacek Sroka, Mariusz Fiszer, Roland Sendrowska, Aneta Gierat-Haponiuk, Katarzyna Maruszewski, Bohdan |
author_sort | Haponiuk, Ireneusz |
collection | PubMed |
description | BACKGROUND: The complexity of ventricular septal defects in early infancy led to development of new mini-invasive techniques based on collaboration of cardiac surgeons with interventional cardiologists, called hybrid procedures. Hybrid therapies aim to combine the advantages of surgical and interventional techniques in an effort to reduce the invasiveness. The aim of this study was to present our approach with mVSD patients and initial results in the development of a mini-invasive hybrid procedure in the Gdansk Hybrid Heartlink Programme (GHHP) at the Department of Pediatric Cardiac Surgery, Pomeranian Centre of Traumatology in Gdansk, Poland. MATERIAL/METHODS: The group of 11 children with mVSDs was enrolled in GHHP and 6 were finally qualified to hybrid trans-ventricular mVSD device closure. Mean age at time of hybrid procedure was 8.22 months (range: from 2.7 to 17.8 months, SD=5.1) and mean body weight was 6.3 kg (range: from 3.4 to 7.5 kg, SD=1.5). RESULTS: The implants of choice were Amplatzer VSD Occluder and Amplatzer Duct Occluder II (AGA Med. Corp, USA). The position of the implants was checked carefully before releasing the device with both transesophageal echocardiography and epicardial echocardiography. All patients survived and their general condition improved. No complications occurred. The closure of mVSD was complete in all children. CONCLUSIONS: Hybrid procedures of periventricular muscular VSD closure appear feasible and effective for patients with septal defects with morphology unsuitable for classic surgical or interventional procedures. The modern strategy of joint cardiac surgical and interventional techniques provides the benefits of close cooperation between cardiac surgeon and interventional cardiologist for selected patients in difficult clinical settings. |
format | Online Article Text |
id | pubmed-3735373 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-37353732013-08-12 Hybrid approach for closure of muscular ventricular septal defects Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radoslaw Steffek, Mariusz Juscinski, Jacek Sroka, Mariusz Fiszer, Roland Sendrowska, Aneta Gierat-Haponiuk, Katarzyna Maruszewski, Bohdan Med Sci Monit Clinical Research BACKGROUND: The complexity of ventricular septal defects in early infancy led to development of new mini-invasive techniques based on collaboration of cardiac surgeons with interventional cardiologists, called hybrid procedures. Hybrid therapies aim to combine the advantages of surgical and interventional techniques in an effort to reduce the invasiveness. The aim of this study was to present our approach with mVSD patients and initial results in the development of a mini-invasive hybrid procedure in the Gdansk Hybrid Heartlink Programme (GHHP) at the Department of Pediatric Cardiac Surgery, Pomeranian Centre of Traumatology in Gdansk, Poland. MATERIAL/METHODS: The group of 11 children with mVSDs was enrolled in GHHP and 6 were finally qualified to hybrid trans-ventricular mVSD device closure. Mean age at time of hybrid procedure was 8.22 months (range: from 2.7 to 17.8 months, SD=5.1) and mean body weight was 6.3 kg (range: from 3.4 to 7.5 kg, SD=1.5). RESULTS: The implants of choice were Amplatzer VSD Occluder and Amplatzer Duct Occluder II (AGA Med. Corp, USA). The position of the implants was checked carefully before releasing the device with both transesophageal echocardiography and epicardial echocardiography. All patients survived and their general condition improved. No complications occurred. The closure of mVSD was complete in all children. CONCLUSIONS: Hybrid procedures of periventricular muscular VSD closure appear feasible and effective for patients with septal defects with morphology unsuitable for classic surgical or interventional procedures. The modern strategy of joint cardiac surgical and interventional techniques provides the benefits of close cooperation between cardiac surgeon and interventional cardiologist for selected patients in difficult clinical settings. International Scientific Literature, Inc. 2013-07-29 /pmc/articles/PMC3735373/ /pubmed/23892911 http://dx.doi.org/10.12659/MSM.883985 Text en © Med Sci Monit, 2013 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Clinical Research Haponiuk, Ireneusz Chojnicki, Maciej Jaworski, Radoslaw Steffek, Mariusz Juscinski, Jacek Sroka, Mariusz Fiszer, Roland Sendrowska, Aneta Gierat-Haponiuk, Katarzyna Maruszewski, Bohdan Hybrid approach for closure of muscular ventricular septal defects |
title | Hybrid approach for closure of muscular ventricular septal defects |
title_full | Hybrid approach for closure of muscular ventricular septal defects |
title_fullStr | Hybrid approach for closure of muscular ventricular septal defects |
title_full_unstemmed | Hybrid approach for closure of muscular ventricular septal defects |
title_short | Hybrid approach for closure of muscular ventricular septal defects |
title_sort | hybrid approach for closure of muscular ventricular septal defects |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3735373/ https://www.ncbi.nlm.nih.gov/pubmed/23892911 http://dx.doi.org/10.12659/MSM.883985 |
work_keys_str_mv | AT haponiukireneusz hybridapproachforclosureofmuscularventricularseptaldefects AT chojnickimaciej hybridapproachforclosureofmuscularventricularseptaldefects AT jaworskiradoslaw hybridapproachforclosureofmuscularventricularseptaldefects AT steffekmariusz hybridapproachforclosureofmuscularventricularseptaldefects AT juscinskijacek hybridapproachforclosureofmuscularventricularseptaldefects AT srokamariusz hybridapproachforclosureofmuscularventricularseptaldefects AT fiszerroland hybridapproachforclosureofmuscularventricularseptaldefects AT sendrowskaaneta hybridapproachforclosureofmuscularventricularseptaldefects AT gierathaponiukkatarzyna hybridapproachforclosureofmuscularventricularseptaldefects AT maruszewskibohdan hybridapproachforclosureofmuscularventricularseptaldefects |