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Updated: Jan 22, 2026
Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Distal Radial Access for Perimembranous Ventricular Septal Defect Closure
Charlotte Johanna Cool1, Achmad Fauzi Yahya1, Dian Larasati Munawar2
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia.
Background:
Percutaneous perimembranous ventricular septal defect (pmVSD) closure traditionally uses femoral arterial access, which carries risks of vascular complications and prolonged bed rest.
Objective:
We aim to report the first case series of pmVSD closure using distal radial access (DRA) with a single arterial retrograde approach.
Methods:
Eight consecutive adult patients underwent percutaneous pmVSD closure via DRA using the Amplatzer Ductal Occluder II between 2018 and 2024 across 2 centers. All procedures used a single arterial access with a retrograde approach.
Results:
Technical success was achieved in all patients (100%). The mean procedure time was 49.4 ± 7.3 minutes. Defect sizes ranged from 3 to 6 mm (right ventricle) and 5 to 6 mm (left ventricle). Complete closure occurred in all patients with no residual shunts at 1-year follow-up. No major complications occurred.
Conclusions:
DRA represents a safe, effective alternative for percutaneous pmVSD closure, offering reduced vascular complications, shorter hospital stays, and improved patient comfort compared with traditional femoral access.
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