摘要
目的评价应用国产双盘型室间隔缺损封堵器闭合室间隔缺损（VSD）的可行性和疗效。方法86例先天性心脏病VSD患者,术前超声测量VSD直径2.7-13.0 mm。应用7-10 F输送鞘管从右心系统送入国产双盘形封堵器。封堵后10 min重复左心室造影和经胸心脏超声检查观察封堵的即刻效果。出院前及术后1、3、6个月和1、2、3 a定期复查心电图和心脏超声。结果86例中82例患者封堵成功,成功率96.8%。植入封堵器直径为4-20 mm。随访3-42个月,无感染性心内膜炎、血栓栓塞和溶血等并发症。结论国产双盘状封堵器治疗VSD操作简便,疗效可靠,使用安全。
[ Objective] To evaluate the clinical results of transcatheter closure of ventricular septal defects （VSD） with domestic-made occluder device. [ Methods ] 86 patients with VSD were successfully closed with domestic occluder device by the percutaneous guidewire through femoral artery VSD femoral vein route under the guidance of fluoroscopy ventriculography and transthoracic echocardiography （rITE）. Follow up evaluations were made with chest X-ray and echocardiogram at 24 hours and 1,3, 6 months, and I, 2, 3 years after implantation. [ Results ] The success rate of transcatheter closure of VSD with domestic devices was 96.8%. No significant complications occurred in the follow-up period. [ Conclusions ] Transcatheter closure of the perimembranous ventricular septal defect using VSD occluder device is an efficient method for patients with the perimembranous VSD. The operation is simple with a high success rate and a good effect.
出处
《山东医药》
CAS
北大核心
2007年第19期30-32,共3页
Shandong Medical Journal
关键词
室间隔缺损
国产封堵器
心导管插入术
ventricular septal defect
domestic-made occluder
transcatheter closure
