Percutaneous Transcatheter Closure of Post-infarction Ventricular Septal Defect: An Alternative to Surgical Intervention
Post-infarction ventricular septal defect is a mechanical complication of acute MI. The incidence of this complication is low in the primary percutaneous coronary intervention era. However, the associated mortality is very high at 94% with medical management alone. Open surgical repair or percutaneo...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2023-05-01
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| Series: | Interventional Cardiology: Reviews, Research, Resources |
| Online Access: | https://www.icrjournal.com/articleindex/icr.2023.01 |
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| author | Diarmaid Cadogan Marwa Daghem Mostafa Snosi Lynne K Williams Jonathan Weir-McCall Patrick A Calvert Joel P Giblett |
| author_facet | Diarmaid Cadogan Marwa Daghem Mostafa Snosi Lynne K Williams Jonathan Weir-McCall Patrick A Calvert Joel P Giblett |
| author_sort | Diarmaid Cadogan |
| collection | DOAJ |
| description | Post-infarction ventricular septal defect is a mechanical complication of acute MI. The incidence of this complication is low in the primary percutaneous coronary intervention era. However, the associated mortality is very high at 94% with medical management alone. Open surgical repair or percutaneous transcatheter closure still has an in-hospital mortality >40%. Retrospective comparisons between both closure methods are limited by observation and selection bias. This review addresses the assessment and optimisation of patients prior to repair, the optimal timing of repair, and the limitations in current data. The review considers techniques for percutaneous closure, and finally considers the path that future research should take to improve outcomes for patients. |
| format | Article |
| id | doaj-art-fd096c83107e4477bdb9a450d40a12f1 |
| institution | OA Journals |
| issn | 1756-1477 1756-1485 |
| language | English |
| publishDate | 2023-05-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Interventional Cardiology: Reviews, Research, Resources |
| spelling | doaj-art-fd096c83107e4477bdb9a450d40a12f12025-08-20T01:56:35ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852023-05-011810.15420/icr.2023.01Percutaneous Transcatheter Closure of Post-infarction Ventricular Septal Defect: An Alternative to Surgical InterventionDiarmaid Cadogan0Marwa Daghem1Mostafa Snosi2Lynne K Williams3Jonathan Weir-McCall4Patrick A Calvert5Joel P Giblett6Department of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, UKDepartment of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, UKDepartment of Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, UKDepartment of Cardiology, Royal Papworth Hospital, Cambridge, UKDepartment of Radiology, Royal Papworth Hospital, Cambridge, UK; Division of Cardiovascular Medicine, University of Cambridge, Cambridge, UKDepartment of Cardiology, Royal Papworth Hospital, Cambridge, UK; Division of Cardiovascular Medicine, University of Cambridge, Cambridge, UKDepartment of Cardiology, Liverpool Heart and Chest Hospital, Liverpool, UK; Liverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UKPost-infarction ventricular septal defect is a mechanical complication of acute MI. The incidence of this complication is low in the primary percutaneous coronary intervention era. However, the associated mortality is very high at 94% with medical management alone. Open surgical repair or percutaneous transcatheter closure still has an in-hospital mortality >40%. Retrospective comparisons between both closure methods are limited by observation and selection bias. This review addresses the assessment and optimisation of patients prior to repair, the optimal timing of repair, and the limitations in current data. The review considers techniques for percutaneous closure, and finally considers the path that future research should take to improve outcomes for patients.https://www.icrjournal.com/articleindex/icr.2023.01 |
| spellingShingle | Diarmaid Cadogan Marwa Daghem Mostafa Snosi Lynne K Williams Jonathan Weir-McCall Patrick A Calvert Joel P Giblett Percutaneous Transcatheter Closure of Post-infarction Ventricular Septal Defect: An Alternative to Surgical Intervention Interventional Cardiology: Reviews, Research, Resources |
| title | Percutaneous Transcatheter Closure of Post-infarction Ventricular Septal Defect: An Alternative to Surgical Intervention |
| title_full | Percutaneous Transcatheter Closure of Post-infarction Ventricular Septal Defect: An Alternative to Surgical Intervention |
| title_fullStr | Percutaneous Transcatheter Closure of Post-infarction Ventricular Septal Defect: An Alternative to Surgical Intervention |
| title_full_unstemmed | Percutaneous Transcatheter Closure of Post-infarction Ventricular Septal Defect: An Alternative to Surgical Intervention |
| title_short | Percutaneous Transcatheter Closure of Post-infarction Ventricular Septal Defect: An Alternative to Surgical Intervention |
| title_sort | percutaneous transcatheter closure of post infarction ventricular septal defect an alternative to surgical intervention |
| url | https://www.icrjournal.com/articleindex/icr.2023.01 |
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