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The purpose of this study is to evaluate the efficacy and safety of minimally invasive transthoracic device closure of ventricular septal defect. This is a multi-center randomized controlled trial. Because of the characteristics of this surgical clinical trials, surgeons, ultrasonic department doctors, anesthesiologists, operating room nurses and intensive care unit nurses are all need to be informed. Therefore the results of this trial need to be system evaluated through objective methods to reduce bias.
Several examinations need to be done in all the patients, including X-ray, electrocardiogram, echocardiogram, blood routine examination, liver and kidney function, electrolytes, coagulation function and infectious index checks. And they will be divided into two groups after they have obtained informed consent: surgical group (50 cases); closure group (50 cases). If the closure failed, the patients in closure group will be converted to surgical repair with cardiopulmonary bypass .
Recheck X-ray, electrocardiogram, echocardiogram, blood routine examination, liver and kidney function and electrolytes need to be done in all the patients two days after operation. The patients were followed up by X-ray, electrocardiogram, echocardiogram at the first month, third month, sixth month and the first year.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| surgical group | Active Comparator | The patients in Group A (surgical group) underwent surgical repair with cardiopulmonary bypass |
|
| closure group | Experimental | The patients in Group B (closure group) underwent minimally invasive transthoracic device closure. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| transthoracic device closure | Procedure | minimally invasive transthoracic device closure |
| |
| Measure | Description | Time Frame |
|---|---|---|
| the success rate of the operation | The definition of a successful operation: shunt disappeared | index procedure (day 0) |
| Measure | Description | Time Frame |
|---|---|---|
| adverse events | death, cardiac perforation, cardiac tamponade, emerging tricuspid regurgitation, emerging aortic regurgitation, arrhythmias (third-degree atrioventricular block, complete bundle branch block), postoperative residual shunt (refers to the residual shunt, which diameter greater than 2mm or flow rate greater than 3m/s), infective endocarditis, postoperative murmur | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xiangbin Pan, Dr | Contact | 010-88396666 | fuwaiyiyuan28@163.cpm |
| Name | Affiliation | Role |
|---|---|---|
| Xiangbin Pan, Dr | Chinese Academy of Medical Sciences, Fuwai Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Henan Province People's Hospital | Recruiting | Zhengzhou | Henan | 450003 | China | |
| XiangYa Hospital CentralSouth University |
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| ID | Term |
|---|---|
| D014945 | Wound Healing |
| ID | Term |
|---|---|
| D012038 | Regeneration |
| D001686 | Biological Phenomena |
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| surgical repair |
| Procedure |
surgical repair with cardiopulmonary bypass |
|
| thoracic fluid volume | index procedure (day 0) |
| blood transfusion | index procedure (day 0) |
| operating time | time cost from cut the skin to complete closure of the sternum | index procedure (day 0) |
| postoperative ventilator support time | index procedure (day 0) |
| postoperative hospital stay | 7 days after operation or before discharge |
| costs | 7 days after operation or before discharge |
| Recruiting |
| Changsha |
| Hunan |
| 410008 |
| China |
| The First Affiliated Hospital of Kunming Medical University | Recruiting | Kunming | Yunnan | 650032 | China |