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Transcatheter closure of perimembranous ventricular septal defects
Authors:Joaquim Miró MD
Abstract:Although effective, transcatheter closure of perimembranous ventricular septal defects (pmVSD) with the Amplatzer Membranous VSD Occluder (AGA Medical Corporation, MN) carries a substantial risk of complete heart block, prompting many to abandon this intervention. A newly designed Amplatzer device for pmVSD was modified, in part, to minimize this risk. After rigorous preclinical testing, we report the first human experience with the Amplatzer Membranous VSD Occluder 2 (AGA Medical Corporation) in two patients (a 5‐year old with a 12‐mm pmVSD and a 26‐year‐old male with a 8‐mm defect). Both procedures were successful, with no adverse events at 7 and 4 weeks of follow‐up, respectively. Herein, we discuss characteristics of the new device, potential advantages compared to the prior version, and main technical aspects related to the procedure. © 2013 Wiley Periodicals, Inc.
Keywords:perimembranous ventricular septal defect  occluder  Amplatzer
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