Heart Septal Defects, Ventricular
Conditions
Keywords
muscular, ventricular, septal, defects, VSD
Brief summary
The objective is to investigate the safety of the AMPLATZER Muscular VSD Occluder for the treatment of muscular ventricular septal defects, which are hemodynamically significant and are either isolated or in conjunction with other congenital heart defects in infants and children.
Detailed description
The objective of this feasibility study is to investigate the safety of the AMPLATZER Muscular VSD Occluder for the treatment of muscular ventricular septal defects, which are hemodynamically significant and are either isolated or in conjunction with other congenital heart defects in infants and children.
Interventions
Device: AMPLATZER Muscular VSD Occluder
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with hemodynamically significant muscular VSD's (demonstrated by echocardiography or angiography), either isolated or in conjunction with other congenital heart defects * Age \< 18 years old
Exclusion criteria
* Less than 4 mm distance from the semilunar (aortic and pulmonary) and atrioventricular valves (mitral and tricuspid) * Patients with severely increased pulmonary vascular resistance above 7 woods units and a right-to-left shunt and documented irreversible pulmonary vascular disease * Patients with perimembranous (close to the aortic valve) VSD * Patients \< 3 kg * Patients with sepsis (local/generalized) * Patients with gastritis, gastric ulcer, duodenal ulcer, bleeding disorders etc. and other contraindications to aspirin therapy unless other anti-platelet agents can be administered for 6 months * Inability to obtain informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Closure of Muscular Ventricular Septal Defects | 5 years | Closure of muscular ventricular septal defect with the AMPLATZER Muscular VSD Occluder |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Main Cohort Patients with muscular VSDs that are hemodynamically significant and are either isolated or present in conjunction with other congenital heart defects. | 91 |
| Total | 91 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Death | 6 |
| Overall Study | Other | 67 |
Baseline characteristics
| Characteristic | Main Cohort |
|---|---|
| Age, Continuous | 6.66 years |
| Region of Enrollment United States | 91 participants |
| Sex: Female, Male Female | 49 Participants |
| Sex: Female, Male Male | 42 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 6 / 91 |
| other Total, other adverse events | 74 / 91 |
| serious Total, serious adverse events | 29 / 91 |
Outcome results
Closure of Muscular Ventricular Septal Defects
Closure of muscular ventricular septal defect with the AMPLATZER Muscular VSD Occluder
Time frame: 5 years
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Main Cohort | Closure of Muscular Ventricular Septal Defects | 91 participants |