Hybrid versus traditional method closure of ventricular septal defects in childrenCentral MessagePerspective
Objective: The aim of our study was to evaluate the safety and effectiveness of the hybrid method off-pump for closure of isolated ventricular septal defect (VSD) compared with the traditional method of on-pump of children. Methods: This research was a retrospective cohort study. Data were collected...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250724000427 |
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| author | Akkerbez Adilbekova, MD Shukhrat Marassulov, MD, PhD Abay Baigenzhin, MD, PhD Saken Kozhakhmetov, MD, PhD Bakhytzhan Nurkeyev, MD, PhD Amangeldy Kerimkulov, MD Saniya Murzabayeva, MD Rinat Maiorov, MD Arailym Kenzhebayeva, MD |
| author_facet | Akkerbez Adilbekova, MD Shukhrat Marassulov, MD, PhD Abay Baigenzhin, MD, PhD Saken Kozhakhmetov, MD, PhD Bakhytzhan Nurkeyev, MD, PhD Amangeldy Kerimkulov, MD Saniya Murzabayeva, MD Rinat Maiorov, MD Arailym Kenzhebayeva, MD |
| author_sort | Akkerbez Adilbekova, MD |
| collection | DOAJ |
| description | Objective: The aim of our study was to evaluate the safety and effectiveness of the hybrid method off-pump for closure of isolated ventricular septal defect (VSD) compared with the traditional method of on-pump of children. Methods: This research was a retrospective cohort study. Data were collected from 500 patients with isolated VSD (or residual VSD after a previous repair) who underwent surgery at the National Scientific Medical Center from May 2016 to December 2020. Patients were operated with 1 of 2 methods of surgery: the traditional method of on-pump or the hybrid method of off-pump. This study assessed the safety and efficacy of the hybrid method by comparing it with the traditional method for the treatment of patients with isolated VSD. Results: The procedural success rate reached 93.2% in the hybrid method, with a 6.4% conversion rate to the traditional method and 0.4% hospital mortality. The mean operation time was 84 minutes (31; 160 minutes) in the hybrid group (n = 250) and 168 minutes (70; 300 minutes) in the traditional group (n = 250) (P = .000). Hospital mortality was 0.43% in the first group and 1.5% in the second group (P = .000). Conclusions: The hybrid method of VSD closure is safe and effective in a selected group of patients. The advantages of the hybrid method are improved cosmetics and shorter operation time and overall hospital stay. |
| format | Article |
| id | doaj-art-03cbae2b00fa460e825083cdc97458c0 |
| institution | Kabale University |
| issn | 2666-2507 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-03cbae2b00fa460e825083cdc97458c02025-08-20T03:38:27ZengElsevierJTCVS Techniques2666-25072024-04-012413714410.1016/j.xjtc.2024.01.015Hybrid versus traditional method closure of ventricular septal defects in childrenCentral MessagePerspectiveAkkerbez Adilbekova, MD0Shukhrat Marassulov, MD, PhD1Abay Baigenzhin, MD, PhD2Saken Kozhakhmetov, MD, PhD3Bakhytzhan Nurkeyev, MD, PhD4Amangeldy Kerimkulov, MD5Saniya Murzabayeva, MD6Rinat Maiorov, MD7Arailym Kenzhebayeva, MD8Department of Pediatric Cardiac Surgery, National Scientific Medical Center, Astana City, Republic of Kazakhstan; Department of Surgical Diseases Named Tsoi, Аstana Medical University, Astana City, Republic of Kazakhstan; Address for reprints: Akkerbez Adilbekova, MD, Department of Pediatric Cardiac Surgery, National Scientific Medical Center, Qabanbay Batyr Ave 21, Astana City 020000, Republic of Kazakhstan.Department of Pediatric Cardiac Surgery, National Scientific Medical Center, Astana City, Republic of KazakhstanDepartment of Pediatric Cardiac Surgery, National Scientific Medical Center, Astana City, Republic of KazakhstanDepartment of Surgical Diseases Named Tsoi, Аstana Medical University, Astana City, Republic of KazakhstanDepartment of Pediatric Cardiac Surgery, National Scientific Medical Center, Astana City, Republic of KazakhstanDepartment of Pediatric Anesthesiology, Reanimation and Intensive Care, National Scientific Medical Center, Astana City, Republic of KazakhstanDepartment of Pediatric Anesthesiology, Reanimation and Intensive Care, National Scientific Medical Center, Astana City, Republic of KazakhstanDepartment of Pediatric Interventional Cardiology, Endovascular X-ray Surgery and Functional Diagnostics, National Scientific Medical Center, Astana City, Republic of KazakhstanDepartment of Pediatric Cardiac Surgery, National Scientific Medical Center, Astana City, Republic of KazakhstanObjective: The aim of our study was to evaluate the safety and effectiveness of the hybrid method off-pump for closure of isolated ventricular septal defect (VSD) compared with the traditional method of on-pump of children. Methods: This research was a retrospective cohort study. Data were collected from 500 patients with isolated VSD (or residual VSD after a previous repair) who underwent surgery at the National Scientific Medical Center from May 2016 to December 2020. Patients were operated with 1 of 2 methods of surgery: the traditional method of on-pump or the hybrid method of off-pump. This study assessed the safety and efficacy of the hybrid method by comparing it with the traditional method for the treatment of patients with isolated VSD. Results: The procedural success rate reached 93.2% in the hybrid method, with a 6.4% conversion rate to the traditional method and 0.4% hospital mortality. The mean operation time was 84 minutes (31; 160 minutes) in the hybrid group (n = 250) and 168 minutes (70; 300 minutes) in the traditional group (n = 250) (P = .000). Hospital mortality was 0.43% in the first group and 1.5% in the second group (P = .000). Conclusions: The hybrid method of VSD closure is safe and effective in a selected group of patients. The advantages of the hybrid method are improved cosmetics and shorter operation time and overall hospital stay.http://www.sciencedirect.com/science/article/pii/S2666250724000427ventricular septal defecthybrid methodminimally invasivesurgeryKazakhstan |
| spellingShingle | Akkerbez Adilbekova, MD Shukhrat Marassulov, MD, PhD Abay Baigenzhin, MD, PhD Saken Kozhakhmetov, MD, PhD Bakhytzhan Nurkeyev, MD, PhD Amangeldy Kerimkulov, MD Saniya Murzabayeva, MD Rinat Maiorov, MD Arailym Kenzhebayeva, MD Hybrid versus traditional method closure of ventricular septal defects in childrenCentral MessagePerspective JTCVS Techniques ventricular septal defect hybrid method minimally invasive surgery Kazakhstan |
| title | Hybrid versus traditional method closure of ventricular septal defects in childrenCentral MessagePerspective |
| title_full | Hybrid versus traditional method closure of ventricular septal defects in childrenCentral MessagePerspective |
| title_fullStr | Hybrid versus traditional method closure of ventricular septal defects in childrenCentral MessagePerspective |
| title_full_unstemmed | Hybrid versus traditional method closure of ventricular septal defects in childrenCentral MessagePerspective |
| title_short | Hybrid versus traditional method closure of ventricular septal defects in childrenCentral MessagePerspective |
| title_sort | hybrid versus traditional method closure of ventricular septal defects in childrencentral messageperspective |
| topic | ventricular septal defect hybrid method minimally invasive surgery Kazakhstan |
| url | http://www.sciencedirect.com/science/article/pii/S2666250724000427 |
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