Comparison of percutaneous device closure versus surgical closure of peri-membranous ventricular septal defects: A systematic review and meta-analysis

Background While percutaneous device closure (PDC) is a first‐line therapy for isolated muscular ventricular septal defects (mVSD), surgery is still the preferred approach for peri‐membranous ventricular septal defects (pmVSD). Objective We sought to compare the outcomes of percutaneous versus open...

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Bibliographic Details
Published in:Catheterization and cardiovascular interventions 2015-11, Vol.86 (6), p.1048-1056
Main Authors: Saurav, Alok, Kaushik, Manu, Mahesh Alla, Venkata, White, Michael D., Satpathy, Ruby, Lanspa, Thomas, Mooss, Aryan N., DelCore, Michael G.
Format: Article
Language:English
Subjects:
Cardiac Catheterization - adverse effects
Cardiac Catheterization - methods
Cardiac Surgical Procedures - adverse effects
Cardiac Surgical Procedures - methods
Child, Preschool
Echocardiography, Doppler
Female
Follow-Up Studies
Heart Septal Defects, Ventricular - diagnostic imaging
Heart Septal Defects, Ventricular - surgery
Heart Septal Defects, Ventricular - therapy
Humans
Length of Stay
Male
percutaneous closure of VSDs
peri-membranous ventricular septal defect
Radiography
Randomized Controlled Trials as Topic
Risk Assessment
Septal Occluder Device
surgical closure of VSDs
Time Factors
Treatment Outcome
ventricular septal defect
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Summary:Background While percutaneous device closure (PDC) is a first‐line therapy for isolated muscular ventricular septal defects (mVSD), surgery is still the preferred approach for peri‐membranous ventricular septal defects (pmVSD). Objective We sought to compare the outcomes of percutaneous versus open surgical closure of pmVSDs. Methods PubMed, Cochrane Library, and Web of Science databases were searched through October 15, 2014 for English language studies comparing outcomes of PDC with surgical closure of pmVSDs. Study quality, publication bias, and heterogeneity were assessed. A meta‐analysis of selected studies was performed using a random effects model. Comparison was done for early (
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.26097