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CompletedNCT02794584Updated Jun 27, 2017

Hybrid Closure of Congenital Heart Disease

An interventional study of sufentanil anesthesia and Hybrid closure in Pediatric Ventricular Septal Defects, sponsored by Nanjing Medical University. Completed. Open to participants aged 1 Year to 5 Years. Per ClinicalTrials.gov, last updated 2017-06-27.

Sponsored by Nanjing Medical University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 5 years 4 months after the study started (first participant enrolled Jan 2011, registered May 2016).
Phase
Not applicable
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
1 Year to 5 Years
Sex
All
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Study summary

Ventricular septal defect (VSD) is one of the most common pediatric congenital malformations. In recent years, in view of the rapid rise of transthoracic minimally invasive hybrid closure for pediatric VSD in the clinical practice, precision assessment of perioperative its effectiveness and safety has already become an important issue that must be solved. On the basis of echocardiography, integrating with characteristics associated critical care, the investigators focus on precision assessment of perioperative effectiveness and safety of transthoracic hybrid closure for pediatric VSD, compared with conventional surgical sternotomy repair with cardiopulmonary bypass (CPB).

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Conditions studied

  • Pediatric Ventricular Septal Defects
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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 200 is above the median of 72 across 51 interventional studies indexed under Heart Septal Defects.

Browse Heart Septal Defects studies →

Lead sponsor

Nanjing Medical University is the lead sponsor of 169 studies on the registry; 51 are open to participants now.

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

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Who can participate

Ages eligible
1 Year to 5 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • confirmed diagnosis of perimembranous ventricular septal defect, muscular ventricular septal defect, doubly committed subarterial VSD by transesophageal echocardiogram (TEE) with VSD size 5-12mm;
  • no significant aortic insufficiency or aortic valve prolapse.

Exclusion criteria

Exclusion Criteria:

  • confirmed pulmonary hypertension (systolic pulmonary arterial pressure >75mmHg or pulmonary vascular resistance >8.0 Wood U/m2);
  • more than mild degree of aortic regurgitation and obvious aortic valve prolapse;
  • preoperative congestive heart failure;
  • other coexisting cardiac anomalies;
  • infective endocarditis.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
200 participants (actual)

Study arms

  • Active comparator
    Off-pump hybrid closure

    Hybrid closure is that a periventricular technique uses an occluding device to closure ventricular septal defects of patients through the delivery system by transthoracic minimally invasive small incision without cardiopulmonary bypass.

    Drug: sufentanil anesthesia · Procedure: Hybrid closure

  • Placebo comparator
    Control

    Control group: Conventional closure of ventricular septal defects was aided with cardiopulmonary bypass.

    Drug: sufentanil anesthesia · Procedure: Control

Interventions

  • Drugsufentanil anesthesia

    Anaesthesia is maintained by inhaled isoflurane in concentrations 0.7-0.8 % end-tidal with additional sufentanil injected during surgery, as required. During extracorporal circulation patients receive isoflurane via a vaporizer incorporated in the extracorporeal gas supply in the same concentrations.

    Also known as: Sufentanil, Sufenta, (R-30730)

  • ProcedureHybrid closure

    Hybrid closure of ventricular septal defects through the delivery system without cardiopulmonary bypass by transthoracic minimally invasive small incision.

    Also known as: TTMI: Transthoracic Minimally Invasive

  • ProcedureControl

    Surgical closure of ventricular septal defects with cardiopulmonary bypass by routine open thoracotomy.

    Also known as: CPB: cardiopulmonary bypass

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What researchers measure

Primary outcomes

  1. Myocardial injury as measured by cardiac troponin I serum

    Time frame: 7 days postoperatively after cardiac surgery

  2. Respiratory dysfunction as measured by PaO2

    Time frame: 7 days postoperatively after cardiac surgery

Secondary outcomes

  1. All cause mortality

    Time frame: 7 days postoperatively after cardiac surgery

Other outcomes

  1. Number of participants with right bundle branch block assessed by ECG

    Time frame: 7 days postoperatively after cardiac surgery

  2. Left ventricular ejection fractions

    Time frame: 7 days postoperatively after cardiac surgery

  3. Extravascular lung water index

    Time frame: 7 days postoperatively after cardiac surgery

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Amin Z, Danford DA, Lof J, Duncan KF, Froemming S. Intraoperative device closure of perimembranous ventricular septal defects without cardiopulmonary bypass: preliminary results with the perventricular technique. J Thorac Cardiovasc Surg. 2004 Jan;127(1):234-41. doi: 10.1016/j.jtcvs.2003.08.023. PubMed 14752435 ↗
  • Liu H, Lu FX, Zhou J, Yan F, Qian SC, Li XY, Zheng SQ, Chen JQ, Zhong JS, Feng QL, Ding T, Fan J, Gu HT, Liu XC. Minimally invasive perventricular versus open surgical ventricular septal defect closure in infants and children: a randomised clinical trial. Heart. 2018 Dec;104(24):2035-2043. doi: 10.1136/heartjnl-2017-312793. Epub 2018 Jun 25. PubMed 29941505 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 27, 2017, 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
NCT02794584
Lead sponsor
Nanjing Medical University
Responsible party
Hong Liu (Principal Investigator, The First Affiliated Hospital with Nanjing Medical University) — Principal investigator
First posted
Jun 9, 2016
Start date
Jan 2011
Primary completion
Dec 2016
Completion
Dec 2016
Last update
Jun 27, 2017

Study contacts

Hai-tao Gu, MD, PhD
principal investigator · The First Affiliated Hospital with Nanjing Medical University

Oversight

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

Not currently enrolling

This study is completed, as verified in Jun 2017. You cannot join it, but the record below documents what was studied.

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