Procedural success was defined by device release in the appropriate position without embolization. Immediate complete closure was determined by angiography shortly after deployment of the device. TTE was performed 24 hours after intervention or prior to discharge to determine the occlusion status for every patient and considered for the outcome at discharge.
The residual shunt was classified as into trivial, small, moderate and large shunts. A trivial shunt was defined when the width of the color jet as assessed by color Doppler echocardiography as it exited the septum of <1 mm. Small, moderate, and large shunts were considered when the width of 1 to 2 mm, 3 to 4 mm, or width ≥4 mm, respectively [3 (
link)].
A valve regurgitation was considered when persistent new or increased valvar regurgitation occurred after the procedure. A heart block was considered when there was a complete atrioventricular block or other persistent cardiac arrhythmia that required long-term medical treatment or pacemaker placement [3 (
link)].
Kuswiyanto R.B., Gunawijaya E., Djer M.M., N.o.o.r.m.a.n.t.o., Rahman M.A., Murni I.K., Sukardi R., Utamayasa A., Ardiansyah R., Nova R., Liliyanti S., Rahayuningsih S.E., Anggriawan S.L., Rahayuningsih T.Y., Koentartiwi D., Soewarniaty R., Yantie V.K., Nugroho S., Hidayat T., Ontoseno T., Tobing T.C., Ali M., Bashari M.H., Yosy D.S., Arafuri N., Hilmanto D., Yanuarso P.B., Advani N., Sastroasmoro S, & Putra S.T. (2022). Transcatheter Closure of Perimembranous Ventricular Septal Defect Using the Lifetech Konar-Multi Functional Occluder: Early to Midterm Results of the Indonesian Multicenter Study. Global Heart, 17(1), 15.