摘要
目的探讨用国产偏心型封堵器介入治疗嵴内型室间隔缺损(IVSD)的操作技巧、安全性和有效性。方法2005年6月至2008年6月介入治疗IVSD共24例,其中男性13例,女性11例,平均年龄(11±6)岁,平均体重(23.0±8.4)kg。术前经胸超声心动图确诊,IVSD边缘与主动脉瓣距离均<2mm;IVSD直径2.5～6.0(4.3±0.8)mm。术中常规左心室造影。24例均采用国产偏心型室间隔缺损封堵器,型号4～10mm。术后1个月、3个月、6个月和12个月随访检查心电图、胸部X线片和超声心动图。结果全组无死亡。1例术中因主动脉瓣轻度反流放弃封堵;1例因缺损较大放弃封堵。即时封堵成功22例。即时超声心动图检查主动脉瓣微量反流3例。术后随访无严重并发症。结论用国产偏心型封堵器介入治疗嵴内型室间隔缺损安全、有效,但需要一定的诊断及操作技巧。
Objective To investigate the security, efficacy and operative skills of transcatheter closure of intraeristal ventricular septal defects （IVSDs） with home-made asymmetric occluders. Methods Total 24 patients （13 men and 11 women） proved to have IVSDs by transthoracic echography （TEE） with mean age （11±6） years and mean weight （23.0±8.4）kg. The mean diameter of IVSDs was （4.3±0.8）mm. The distance between the edge of IVSDs and the ring of aortic valves was all less than 2 mm. Left ventriculography was performed routinely. Home-made asymmetric oceluders were used in all patients, which size ranged from 4 to 10 mm. Follow-up with EKG, chest X-ray and eehography was undertaken 1,3, 6 and 12 months after the procedures. Results None died. Two cases were abandoned, one for light recurrence of aortic valves and another for excess size of IVSD.22 IVSDs were successfully occluded. Aortic valves had minor recurrence in 3 cases by immediate TEE. No severe complication occurred in follow-up. Conclusion Transcatheter closure of IVSDs with home-made asymmetric occluders is safe and effective, and needs more skills in diagnosis and operation.
出处
《中国心血管病研究》
CAS
2008年第12期916-918,共3页
Chinese Journal of Cardiovascular Research
关键词
放射学
介入性
血管造影术
室间隔缺损
Radiology
Interventional
Angiography
Ventricular septal defect
