Transcatheter closure of congenital ventricular septal defects in 3 dogs with a detachable coil

J Vet Intern Med. 2004 Nov-Dec;18(6):911-4. doi: 10.1892/0891-6640(2004)18<911:tcocvs>2.0.co;2.

Abstract

The purpose of this study was to evaluate the feasibility, safety, and efficacy of transcatheter closure in dogs with a congenital perimembranous ventricular septal defect (VSD) by using a detachable coil. No dogs showed any symptoms, and results of chest X-rays and ECGs were normal. The diameters of VSD ranged from 2 to 4 mm on echocardiogram. The defect was 2-2.5 mm from the aortic valve. A detachable coil (size 5 mm with 5 loops) designed for patent ductus arteriosus was delivered via the transarterial route. The device was successfully employed in all dogs. A minimal residual shunt was observed in all dogs even though Qp/Qs decreased. Hemolysis and a rate-dependent right-bundle branch block were observed in 1 dog, but there was no clinical significance. No major complication was noted. Pathologic examination after 1 year revealed that the coils were covered with tissue without significant damage to the His-Purkinje conduction system. In conclusion, transcatheter closure of a small perimembranous VSD with a detachable coil can be achieved without major complications or significant pathologic damage at the lesion site.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cardiac Catheterization / instrumentation
  • Cardiac Catheterization / veterinary*
  • Dog Diseases / diagnostic imaging
  • Dog Diseases / therapy*
  • Dogs
  • Electrocardiography / veterinary
  • Heart Septal Defects, Ventricular / therapy
  • Heart Septal Defects, Ventricular / veterinary*
  • Male
  • Prosthesis Implantation / veterinary
  • Radiography
  • Treatment Outcome
  • Ultrasonography