Congenital heart diseaseResearch article

Postapproval Study Outcomes of Muscular Ventricular Septal Defect Closure With the Amplatzer Muscular Ventricular Septal Defect (VSD) Occluder

Circ Cardiovasc IntervPublished

  • postapproval study

Authors' conclusion

This postapproval study demonstrates that transcatheter muscular VSD closure with the Amplatzer Muscular VSD Occluder is a safe and effective therapy for the treatment of complex congenital muscular VSDs in patients who are at high-risk for surgical closure.

Study context

Population
Patients with complex congenital muscular VSDs at high risk for surgical closure, enrolled between May 2008 and February 2020 in the United States and Canadamedian age, 2 years, 50 females
Participants
92 patients
Outcome
Primary effectiveness end points: technical implant success, acute procedure shunt-closure success, and 1-year shunt-closure success

Main finding

As reported in the abstract

Technical implant success

93.8%

Acute shunt-closure success

78.0%

Successful shunt closure at 1-year

94.4%

Further findings

Successful shunt closure · between 2 and 5 years

Successful shunt closure
>98%

Safety

Primary safety end point: all-cause serious adverse events · within 12 months of the procedure

All-cause serious adverse events
47 of the 90 (52.2%) patients
Device-related serious adverse events
7
Procedure-related serious adverse events
23

Device- and procedure-related serious adverse events · Between 1 and 5 years

Additional device- and procedure-related serious adverse event
1

Original publication

Postapproval Study Outcomes of Muscular Ventricular Septal Defect Closure With the Amplatzer Muscular VSD Occluder. Circ Cardiovasc Interv. Published 5 May 2026. doi:10.1161/circinterventions.125.016121

Summarised from the published abstract; every number is checked against it