Evidence map›Paper›PMID 41563199›Full record

ArticleJACC. Case reports2026

Distal Radial Access for Perimembranous Ventricular Septal Defect Closure.

Charlotte Johanna Cool, Achmad Fauzi Yahya, Dian Larasati Munawar, Melawati Hasan, Aninka Saboe, Achmad Fitrah Khalid, Rina Dhyanti Permatasari, Muhammad Munawar

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Charlotte Johanna CoolDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia.
Achmad Fauzi YahyaDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia.
Dian Larasati MunawarBinawaluya Cardiac Center, Jakarta, Indonesia.
Melawati HasanDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia.
Aninka SaboeDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia.
Achmad Fitrah KhalidDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia.
Rina Dhyanti PermatasariDepartment of Cardiology and Vascular Medicine, Faculty of Medicine, University of Padjadjaran, Bandung, Indonesia.
Muhammad MunawarBinawaluya Cardiac Center, Jakarta, Indonesia. Electronic address: muna286@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous perimembranous ventricular septal defect (pmVSD) closure traditionally uses femoral arterial access, which carries risks of vascular complications and prolonged bed rest.

objectiveWe aim to report the first case series of pmVSD closure using distal radial access (DRA) with a single arterial retrograde approach.

methodsEight consecutive adult patients underwent percutaneous pmVSD closure via DRA using the Amplatzer Ductal Occluder II between 2018 and 2024 across 2 centers. All procedures used a single arterial access with a retrograde approach.

resultsTechnical success was achieved in all patients (100%). The mean procedure time was 49.4 ± 7.3 minutes. Defect sizes ranged from 3 to 6 mm (right ventricle) and 5 to 6 mm (left ventricle). Complete closure occurred in all patients with no residual shunts at 1-year follow-up. No major complications occurred.

conclusionsDRA represents a safe, effective alternative for percutaneous pmVSD closure, offering reduced vascular complications, shorter hospital stays, and improved patient comfort compared with traditional femoral access.

Indexed as

distal radial accesspercutaneous closureventricular septal defectventricular septal defect occluder

Identifiers

PMID41563199
PMCPMC13100539

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