机构:[1]Department of Ultrasonography, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Hospital of Traditional Chinese Medicine), Guangzhou, China大德路总院影像科大德路总院超声影像科广东省中医院[2]Department of Cardiac Surgery, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Hospital of Traditional Chinese Medicine), Guangzhou, China广东省中医院
Transcatheter closure has become an effective and safe method to repair ventricular septal defects (VSDs). However, the devices used for VSD closure in the past frequently led to serious complications, such as complete atrioventricular block. The second‑generation device, the Amplatzer Duct Occluder (ADO II), was originally designed to block small‑ and medium‑sized patent ductus arteriosus. Interestingly, there are some reports of the use of the ADO II to close VSD because of less complications.
A meta‑analysis of the literature was performed to systematically investigate the efficacy and safety of the ADO II for VSD closure.
The Embase, PubMed, Cochrane, and Web of Science databases were searched for original studies on VSD closure with the ADO II up to March 15, 2020. The random‑effects model and summary rate were employed to estimate the success and complications of VSD closure with the ADO II.
A total of 13 articles comprising 478 patients with VSD were included. The age of the patients ranged from 0.5 to 55.7 years. The overall estimated device‑implantation success rate was 99% (95% CI, 98%-100%). Residual shunts (pooled rate, 4%; 95% CI, 1%-7%) and postoperative aortic valve regurgitation (pooled rate, 0%; 95% CI, 0-1%) were common complications. Only 3 patients developed device embolism.
The ADO II may be a safer and more effective transcatheter closure device for patients with VSD due to its higher success rate and lower complication rate, as compared with other devices.
基金:
Guangdong Science
and Technology Plan Project (no. 2017ZC0180; to PS).
第一作者机构:[1]Department of Ultrasonography, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Hospital of Traditional Chinese Medicine), Guangzhou, China
通讯作者:
通讯机构:[1]Department of Ultrasonography, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Hospital of Traditional Chinese Medicine), Guangzhou, China[*1]Department of Ultrasonography, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Hospital of Traditional Chinese Medicine), 55 Daxuechengneihuanxi Road, Panyu District, Guangzhou, Guangdong 510 006, China,
推荐引用方式(GB/T 7714):
Cen Huan,Peng Bo,Li Jinhua,et al.Efficacy and safety of the Amplatzer Duct Occluder II for ventricular septal defect closure: a meta-analysis.[J].KARDIOLOGIA POLSKA.2021,79(4):401-409.doi:10.33963/KP.15762.
APA:
Cen Huan,Peng Bo,Li Jinhua,Chen Sinan&Sun Pengtao.(2021).Efficacy and safety of the Amplatzer Duct Occluder II for ventricular septal defect closure: a meta-analysis..KARDIOLOGIA POLSKA,79,(4)
MLA:
Cen Huan,et al."Efficacy and safety of the Amplatzer Duct Occluder II for ventricular septal defect closure: a meta-analysis.".KARDIOLOGIA POLSKA 79..4(2021):401-409