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Interventional pediatric cardiology: device closures.

J L Wilkinson1

  • 1Royal Children's Hospital, Melbourne, Australia.

Indian Journal of Pediatrics
|August 25, 2000
PubMed
Summary
This summary is machine-generated.

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Transcatheter device closure is increasingly used for certain septal defects like patent ductus arteriosus and atrial septal defects, offering high closure rates. However, cost and long-term outcomes for these interventional cardiology procedures require further evaluation.

Area of Science:

  • Interventional Cardiology
  • Congenital Heart Disease
  • Medical Device Technology

Background:

  • Surgical repair of septal defects is established, but transcatheter techniques are advancing.
  • Transcatheter closure devices have been developed for patent ductus arteriosus (PDA) and atrial septal defects (ASD).
  • Device closure for ventricular septal defects (VSD) remains challenging and controversial.

Purpose of the Study:

  • To review the established and emerging transcatheter device closure techniques for septal defects.
  • To compare the efficacy and limitations of various devices used for PDA and ASD closure.
  • To discuss the current status and challenges of transcatheter VSD closure.

Main Methods:

  • Review of historical and current literature on transcatheter device closure for PDA, ASD, and VSD.

Related Experiment Videos

  • Analysis of reported closure rates, device types, and associated costs.
  • Discussion of unresolved issues like endothelialization, arrhythmias, and endocarditis.

    • Main Results:

    • High closure rates (95-98%) are reported for PDA and ASD device closure.
    • The Amplatzer device is widely used for ASD closure, though no single device is ideal for all cases.
    • Transcatheter VSD closure is limited to specific pediatric cases with high surgical risk.

    Conclusions:

    • Transcatheter device closure is increasingly utilized for select PDA and ASD cases.
    • Cost-effectiveness and long-term safety (arrhythmias, endocarditis) of devices require ongoing assessment.
    • Further research is needed to refine VSD transcatheter closure techniques.