Transcatheter Ventricular Septal Defect (VSD) Closure by Abd El-Salam Dawood Salman Al-Ethawi

This is a step-by-step transcatheter closure of a ventricular septal defect (VSD) of the perimembranous (subaortic) type in a five-year-old female child.
The procedure has been done in the largest and busiest cardiac center in Baghdad-Iraq, namely 'Ibn Al-Bittar Center for Cardiac Surgery' in January, 2017.
Although surgical closure is the 'gold-standard' for decades in many centers across the globe, many physicians -including us- started to close many VSDs via the transcatheter approach.
Strict selection criteria are needed because it is challenging, time-consuming, and expensive procedure with a lot of risk.

In this video, we used Amplatzer Duct Occluder (ADO-I) device (an off-label) from St. Jude Medical (USA). However, we have an experience with Amplatzer Muscular Device from St. Jude Medical (USA) and Nit-Occlud Le VSD from PFM Medical (Germany).

After three trials in snaring the arterial guidewire, we finally succeeded, and here we are sharing our experience to the already-present, and ever-growing knowledge in this field.

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Many thanks

Abd El-Salam Dawood Salman Al-Ethawi
Pediatric Interventional cardiologist