Anesthesia for percutaneous transcatheter closure of perimembranous ventricular septal defect

Journal of Cardiothoracic and Vascular Anesthesia
Mukul Chandra KapoorCharanjit Singh

Abstract

To review the anesthetic management for percutaneous transcatheter closure of perimembranous ventricular septal defect (VSD) with an Amplatzer asymmetric occluder device and to highlight the hemodynamic effects and potential complications associated with its delivery. Retrospective review of prospectively collected data. University-affiliated teaching hospital. Nine consecutive children undergoing elective percutaneous transcatheter closure of perimembranous VSD. General anesthesia with sevoflurane for cardiac catheterization and percutaneous transcatheter device placement. Ten anesthetics were delivered in 9 children ages 23 to 65 months with perimembranous VSD for attempted placement of an Amplatzer asymmetric device. The device was successfully placed in 7 patients. In 1 patient the device embolized to the right femoral artery, and was retrieved with a bioptome. Fluoroscopy time (59.8 +/- 17.24 min) was prolonged compared to that in other studies of placement of this device. All patients had episodes of arrhythmia and hemodynamic disturbance. Arrhythmias ranged from atrial or ventricular ectopic events to various degrees of atrioventricular block. Complete heart block occurred during the procedure in 1 patient and after the ...Continue Reading

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Citations

Oct 23, 2008·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Shunji NogiKenji Yasuda
May 7, 2013·International Journal of Cardiology·Chan ChenFeng Huang
Jul 11, 2009·International Anesthesiology Clinics·Ingrid Hollinger, Alexander Mittnacht

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