摘要
目的评价国产封堵器经导管介入治疗继发孔型房间隔缺损(ASD)的临床疗效。方法连续461例继发孔型ASD患者,其中部分房间隔边缘缺乏或不足176例、多孔ASD22例、房间隔瘤并发ASD21例、巨大ASD37例、外科修补术后残余漏2例、合并ASD的复合型先天性心脏病32例,均行国产封堵器介入治疗,合并畸形同期治疗,同时行心脏超声追踪测量及随访。结果ASD术前缺损直径为(26.4±12.6)mm,植入的封堵器腰部直径为(28.9±8.0)mm,共植入国产封堵器465个,技术成功率为100.0%,手术成功率为99.6%(459/461);同时植入2个封堵器者6例;严重并发症发生率为1.3%,其他并发症65例。结论国产封堵器经导管介入治疗继发孔型ASD,近期及中期临床疗效肯定、确切,严重并发症发生率低,是一种安全、可靠的治疗方法。
Objective To evaluate the safety and efficiency of transcatheter closure of secundum atrial septal defects （ASD） with the China-made septal occluder. Methods There were 461 patients,all patients were occluded with the China-made septal occluder including 176 patients with deficient or insufficient residual rim, 22 multiple ASDs, 21 ASDs with atrial septal aneurysm, 37 with large ASD, 2 residual fistula after surgery repair of ASD and 32 combined congenital heart disease. The closure procedure was guided by fluoroscopy and transthoracic echocardiography （TIE）or transescophageal echocardiography （TEE）. For patients with ASD and other deformities, ASD was occluded after the other deformities were treated. TrE was performed immediately and after the procedure to evaluate the efficiency. Results The defected diameter of ASD was（26.4 ± 12.6）mm .The diameter of the occluder selected was（28.9 ± 8.0） mm. The total of 465 septal occluders had been implanted. The incidence of serious complication was 1.3%. And the other complications were 62 cases. Conclusion The incidence of serious complication of the China-made septal occluder is very low, which suggests that transcatheter occlusion of atrial septal defects with the China-made occluder is a safe and effective method.
出处
《中国医师进修杂志》
2006年第10期1-3,5,共4页
Chinese Journal of Postgraduates of Medicine
基金
陕西省自然科学基金资助项目(2003C2053)
关键词
国产封堵器
房间隔缺损
China-made septal occluder
Secundum atria septal defect
