Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 3 2020
Comparison of Complications between Transcatheter and Surgical Ventricle Septal Defect Closure: A Single-Center Cohort Study
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Title
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 3 2020
Comparison of Complications between Transcatheter and Surgical Ventricle Septal Defect Closure: A Single-Center Cohort Study
Comparison of Complications between Transcatheter and Surgical Ventricle Septal Defect Closure: A Single-Center Cohort Study
Subject
complication, surgery, transcatheter, ventricular septal defect
Description
BACKGROUND Some ventricular septal defects (VSDs) require an interventional procedure for closure. Transcatheter and surgical closures of VSD have similar effectiveness, but transcatheter VSD closure is considered associated with less complication than surgical closure. This study aimed to compare mid-term or long-term complications of transcatheter and surgical VSD closures.
METHODS This was a retrospective cohort study compared the complication rates of transcatheter and surgical VSD closures performed in Cipto Mangunkusumo Hospital from January 1, 2010, to April 30, 2017, with 34 subjects in each group. The inclusion criteria were as follows: single lesion outlet perimembranous or doubly committed subarterial VSD, age 2–18 years, body weight >8 kg, and no arrhythmia.
Electrocardiography and echocardiography were done to collect primary data. Other data were collected from medical records. Mid-term complications occurred 1–24 months after interventional closure. Long-term complications occurred 24 months after interventional closure. Complications were arrhythmia, valve regurgitation, and residual shunt. Data were analyzed by chi-square test.
RESULTS The rate of worsening valve regurgitation was higher in the transcatheter group than in the surgical group (16 versus 11, p = 0.322). The number of patients with residual shunts were similar between the transcatheter group and surgical group (5 versus 5; p = 1.000). Both complications were found in mid- and long-term. Arrhythmia as a long-term complication occurred in five and seven patients in the ranscatheter
and surgical groups, respectively (p = 0.752).
CONCLUSIONS Transcatheter and surgical VSD closures have similar mid- or long-term complications.
METHODS This was a retrospective cohort study compared the complication rates of transcatheter and surgical VSD closures performed in Cipto Mangunkusumo Hospital from January 1, 2010, to April 30, 2017, with 34 subjects in each group. The inclusion criteria were as follows: single lesion outlet perimembranous or doubly committed subarterial VSD, age 2–18 years, body weight >8 kg, and no arrhythmia.
Electrocardiography and echocardiography were done to collect primary data. Other data were collected from medical records. Mid-term complications occurred 1–24 months after interventional closure. Long-term complications occurred 24 months after interventional closure. Complications were arrhythmia, valve regurgitation, and residual shunt. Data were analyzed by chi-square test.
RESULTS The rate of worsening valve regurgitation was higher in the transcatheter group than in the surgical group (16 versus 11, p = 0.322). The number of patients with residual shunts were similar between the transcatheter group and surgical group (5 versus 5; p = 1.000). Both complications were found in mid- and long-term. Arrhythmia as a long-term complication occurred in five and seven patients in the ranscatheter
and surgical groups, respectively (p = 0.752).
CONCLUSIONS Transcatheter and surgical VSD closures have similar mid- or long-term complications.
Creator
Deny Salverra Yosy, Mulyadi Muhammad Djer, Sukman Tulus Putra
Publisher
Fakultas Kedokteran Universitas Indonesia
Date
2020-10-05
Contributor
Sri Wahyuni
Rights
ISSN : 0853-1773
Format
PDF
Language
English
Type
Text
Coverage
Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 3 2020
Files
Citation
Deny Salverra Yosy, Mulyadi Muhammad Djer, Sukman Tulus Putra, “Jurnal Internasional Medical Journal of Indonesia FKUI Vol. 29 No. 3 2020
Comparison of Complications between Transcatheter and Surgical Ventricle Septal Defect Closure: A Single-Center Cohort Study,” Repository Horizon University Indonesia, accessed October 13, 2024, https://repository.horizon.ac.id/items/show/891.
Comparison of Complications between Transcatheter and Surgical Ventricle Septal Defect Closure: A Single-Center Cohort Study,” Repository Horizon University Indonesia, accessed October 13, 2024, https://repository.horizon.ac.id/items/show/891.