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CompletedNCT00647387VPAUpdated Feb 11, 2025Results posted

Closure of Muscular Ventricular Septal Defects (VSDs) With the AMPLATZER Muscular VSD (MuVSD) Occluder - Post Approval Study

An interventional study of Muscular VSD Occluder device implantation (AMPLATZER Muscular VSD Occluder) in Ventricular Septal Defects, sponsored by Abbott Medical Devices. Completed at 51 sites in 2 countries. Per ClinicalTrials.gov, last updated 2025-02-11.

Sponsored by Abbott Medical Devices · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
92
Allocation
Not applicable
Sex
All
01

Study summary

The AMPLATZER Muscular VSD Occluder was approved by the US Food and Drug Administration (FDA) in September, 2007. This study is designed to further evaluate the safety and effectiveness in subjects implanted with the AMPLATZER Muscular VSD Occluder.

02

Conditions studied

  • Ventricular Septal Defects

Keywords

  • muscular
  • ventricular
  • septal
  • defects
  • VSD
03

In context

Heart Septal Defects

82 studies on the registry are indexed under Heart Septal Defects; 9 are open to participants now.

This study's enrollment of 92 is above the median of 72 across 51 interventional studies indexed under Heart Septal Defects.

Browse Heart Septal Defects studies →

Lead sponsor

Abbott Medical Devices is the lead sponsor of 525 studies on the registry; 35 are open to participants now.

Of its 52 completed or terminated interventional studies of FDA-regulated products, 43 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. complex congenital muscular ventricular septal defects (VSD) of significant size to warrant closure. Subjects must meet at least one of the following:

    1. Large volume left to right shunt (Qp/Qs >2:1),
    2. Pulmonary hypertension (PA pressure >50% systemic) and/or
    3. Clinical symptoms of congestive heart failure
    4. Banding of the pulmonary artery(ies) and in the opinion of the treating investigator closure of the VSD is clinically warranted.
  2. Subjects must meet at least one of the following criteria to be considered high risk for standard transatrial or transarterial surgical closure based on anatomical conditions:

    1. Left ventriculotomy or an extensive right ventriculotomy,
    2. Failed previous VSD closure,
    3. Multiple apical and/or anterior muscular VSDs ("Swiss Cheese Septum"), and/or
    4. Posterior apical VSDs covered by trabeculae.
    5. Overall medical condition
  3. Subject/legally authorized representative has signed the informed consent
  4. Subject/legally authorized representative is willing to complete the follow-up requirements of this study

Exclusion criteria

Exclusion Criteria:

  1. Subjects with defects less than 4 mm distance from the semilunar (aortic and pulmonary) or atrioventricular valves (mitral and tricuspid)
  2. Subjects with severely increased pulmonary vascular resistance above 7 Wood units and a right-to-left shunt and documented irreversible pulmonary vascular disease
  3. Subjects with perimembranous (close to the aortic valve) VSD
  4. Subjects with post-infarction VSD
  5. Subjects who weigh \< 5.2 kg
  6. Subjects with sepsis (local/generalized)
  7. Subjects with active bacterial infections
  8. Subjects with contraindications to anti-platelets
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
92 participants (actual)

Study arms

  • Experimental
    Muscular VSD Occluder

    Implantation with the device

    Device: Muscular VSD Occluder device implantation (AMPLATZER Muscular VSD Occluder)

Interventions

  • DeviceMuscular VSD Occluder device implantation (AMPLATZER Muscular VSD Occluder)

    Device

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What researchers measure

Primary outcomes

  1. Primary Effectiveness End Point: Technical Success

    Technical success was defined as successful deployment of the device (Amplatzer™ Muscular VSD Occluder) in subjects with the ventricular septal defect (VSD).

    Time frame: During the procedure

  2. Primary Effectiveness End Point: Acute Procedure Success

    Acute procedural success was defined as a defect with a ≤ 2mm residual shunt at the conclusion of the procedure, as reported by clinical sites.

    Time frame: At the end of the procedure

  3. Primary Effectiveness End Point: Shunt Closure Success

    Subjects in whom a defect has ≤ 2 mm residual shunt at the 1-year follow-up visit (as evaluated by the independent echocardiography board).

    Time frame: 1-year follow-up visit

  4. Primary Safety Endpoint

    The proportion of subjects who experienced a serious adverse event (SAE) within 12 months of the procedure.

    Time frame: Within 12 months of the procedure

07

Results

Posted Feb 7, 2025

Participant flow

Subject enrollment began on 14 May 2008 and concluded on 24 February 2020. A total of 92 subjects were enrolled at 28 investigational sites in the United States and Canada. The post-approval requirements included subject follow-up through 5-years post-procedure.

Participant flow — Overall Study
MilestoneMuscular VSD Occluder
Started92
Completed73
Not completed19
Withdrew: Lost to follow-up6
Withdrew: Unsuccessful implant5
Withdrew: Device explanted3
Withdrew: Other reason3
Withdrew: Death2

Outcome measures

PrimaryPrimary Effectiveness End Point: Technical Success

Technical success was defined as successful deployment of the device (Amplatzer™ Muscular VSD Occluder) in subjects with the ventricular septal defect (VSD).

Time frame:
During the procedure
Reported as:
Count of participants · Participants
Primary Effectiveness End Point: Technical Success
ParticipantsMuscular VSD Occluder
Primary Effectiveness End Point: Technical Success75
PrimaryPrimary Effectiveness End Point: Acute Procedure Success

Acute procedural success was defined as a defect with a ≤ 2mm residual shunt at the conclusion of the procedure, as reported by clinical sites.

Time frame:
At the end of the procedure
Reported as:
Count of participants · Participants
Primary Effectiveness End Point: Acute Procedure Success
ParticipantsMuscular VSD Occluder
Primary Effectiveness End Point: Acute Procedure Success71
PrimaryPrimary Effectiveness End Point: Shunt Closure Success

Subjects in whom a defect has ≤ 2 mm residual shunt at the 1-year follow-up visit (as evaluated by the independent echocardiography board).

Time frame:
1-year follow-up visit
Reported as:
Count of participants · Participants
Primary Effectiveness End Point: Shunt Closure Success
ParticipantsMuscular VSD Occluder
Primary Effectiveness End Point: Shunt Closure Success68
PrimaryPrimary Safety Endpoint

The proportion of subjects who experienced a serious adverse event (SAE) within 12 months of the procedure.

Time frame:
Within 12 months of the procedure
Reported as:
Count of participants · Participants
Primary Safety Endpoint
ParticipantsMuscular VSD Occluder
Primary Safety Endpoint47

Adverse events

Collected over 12 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Muscular VSD Occluder2/92 (2.2%)51/92 (55.4%)17/92 (18.5%)
Most frequent serious events
Showing 10 of 76
Most frequent serious events
EventMuscular VSD Occluder
Elective Cardiac SurgeryCardiac disorders13/92
PA Band RemovalCardiac disorders7/92
Abnormal Lab ValueInvestigations6/92
Elective ProcedureInjury, poisoning and procedural complications6/92
PneumoniaRespiratory, thoracic and mediastinal disorders5/92
Elective SurgerySurgical and medical procedures4/92
Blood LossBlood and lymphatic system disorders3/92
Cardiac ArrestCardiac disorders3/92
Congestive Heart FailureCardiac disorders3/92
Device Closure of ASDProduct Issues3/92
Most frequent other events
Showing 10 of 19
Most frequent other events
EventMuscular VSD Occluder
Chest PainCardiac disorders2/92
Arterial Hypertension/HypertensionCardiac disorders1/92
CardiomegalyCardiac disorders1/92
Device Malposition or MalfunctionProduct Issues1/92
Diabetes MellitusBlood and lymphatic system disorders1/92
Diastolic DysfunctionCardiac disorders1/92
Elective ProcedureInjury, poisoning and procedural complications1/92
FeverGeneral disorders1/92
High Grade Block/Advanced AV BlockCardiac disorders1/92
Mobitz II BlockCardiac disorders1/92

Baseline characteristics

Analysis included prospectively (n=80) and retrospectively (n=12) enrolled subjects.

Age, Continuous
Age, Continuous(years)Muscular VSD Occluder
Mean6.2 ± 12.0
Sex: Female, Male
Sex: Female, Male(Participants)Muscular VSD Occluder
Female50
Male42
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Muscular VSD Occluder
Ventricular septal defects (VSD) type
Ventricular septal defects (VSD) type(Participants)Muscular VSD Occluder
Single VSD45
Multiple VSD32
Swiss Cheese15
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Study locations

51 sites
  • St. Joseph Hospital and Medical Center
    Phoenix, Arizona 85013, United States
  • Phoenix Children's Hospital
    Phoenix, Arizona 85016, United States
  • Children's Hospital Los Angeles (USC)
    Los Angeles, California 90027, United States
  • Cedars-Sinai Medical Center
    Los Angeles, California 90048, United States
  • Ronald Reagan UCLA Medical Center
    Los Angeles, California 90095, United States
  • Valley Children's Hospital
    Madera, California 93638, United States
  • Stanford University Medical Center
    Palo Alto, California 94304, United States
  • Rady Children's Hospital
    San Diego, California 92123, United States
  • Children's Hospital of Colorado
    Aurora, Colorado 80045, United States
  • Yale New Haven Hospital
    New Haven, Connecticut 06510-3202, United States
  • Nemours/Alfred I. duPont Hospital for Children
    Wilmington, Delaware 19803, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010, United States
  • Joe DiMaggio Children's Hospital
    Hollywood, Florida 33021, United States
  • Jackson Memorial Hospital
    Miami, Florida 33136, United States
  • Arnold Palmer Hospital
    Orlando, Florida 32806, United States
  • All Children's Hospital
    Saint Petersburg, Florida 33701, United States
  • Children's Healthcare of Atlanta
    Atlanta, Georgia 30322, United States
  • Augusta University
    Augusta, Georgia 30912, United States
  • University of Chicago Medical Center
    Chicago, Illinois 60637, United States
  • Advocate Christ Medical Center
    Oak Lawn, Illinois 60453, United States
  • Riley Hospital for Children
    Indianapolis, Indiana 46202, United States
  • University of Iowa Hospitals & Clinics
    Iowa City, Iowa 52242, United States
  • University of Kentucky
    Lexington, Kentucky 40536, United States
  • University of Maryland Medical Center
    Baltimore, Maryland 21201, United States
  • Children's Hospital of Michigan
    Detroit, Michigan 48201, United States
  • Sparrow Clinical Research Institute
    Lansing, Michigan 48912, United States
  • Munson Medical Center
    Traverse City, Michigan 49684, United States
  • Children's Hospitals and Clinics of Minnesota
    Minneapolis, Minnesota 55404, United States
  • University of Minnesota Medical Center Fairview
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • University of Mississippi Medical Center
    Jackson, Mississippi 39216, United States
  • University of Missouri-Kansas City School of Medicine
    Kansas City, Missouri 64108, United States
  • St. Louis Children's Hospital
    Saint Louis, Missouri 63110, United States
  • Sunrise Hospital
    Las Vegas, Nevada 89109, United States
  • Deborah Heart & Lung Center
    Browns Mills, New Jersey 08015, United States
  • Children's Hospital of New York-Presbyterian
    New York, New York 10032, United States
  • University of North Carolina at Chapel Hill
    Chapel Hill, North Carolina 27599, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • Nationwide Children's Hospital
    Columbus, Ohio 43205, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Methodist LeBonheur Healthcare
    Memphis, Tennessee 38104, United States
  • University of Texas Southwestern Medical Center at Dallas
    Dallas, Texas 75235, United States
  • Texas Children's Hospital
    Houston, Texas 77030, United States
  • University of Texas Health Science Center at Houston
    Houston, Texas 77030, United States
  • University of Virginia Medical Center
    Charlottesville, Virginia 22908, United States
  • Seattle Children's Hospital
    Seattle, Washington 98105, United States
  • Children's Hospital of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • BC Children's Hospital
    Vancouver, Bristish Columbia V6H3N1, Canada
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
  • Hopital Sainte-Justine
    Montreal, Quebec, Canada
09

References and documents

Study documents

  • Study protocol · Jul 20, 2020
  • Statistical analysis plan · Oct 12, 2016

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00647387
Lead sponsor
Abbott Medical Devices
Responsible party
Sponsor
First posted
Mar 31, 2008
Start date
Mar 2008
Primary completion
Feb 23, 2024
Completion
Feb 23, 2024
Results posted
Feb 7, 2025
Last update
Feb 11, 2025

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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