摘要
目的 :评价AGAAmplatzer闭合器介入性封堵巨大房间隔缺损 (ASD)的疗效。材料和方法 :2 3例住院患者 ,男10例 ,女 13例。年龄 5～ 49岁 ,平均 33 5岁。体重 17～ 88kg ,平均 6 0 4kg。ASD病理分型 :中央型 2 2例 ,中央偏下型 1例 ,均为单一ASD。ASD直径 (球囊伸长直径 ) 2 8～ 3 6cm。应用AGAAmplatzer闭合器 ( 2 8～ 40型号 ) ,在X线和食道超声 (TEE)监测下闭合ASD。其闭合器型号与球囊伸长直径相等或大于 2～ 4mm。结果 :2 3例ASD中 ,2 1例闭合成功 ,成功率 92 %。 2例闭合器脱落 ,无其它并发症发生。结论 :AGAAmplatzer闭合器闭合大型ASD是安全的 ,有效的 ;但在操作中注意防止闭合器脱落并发症发生。
purpose: To evaluate the effectiveness of transcatheter closure of large atrial septal defect with Amplatzer occlusion device. Materials and Methods: The study group consisted of 10 males and 13 females with mean age 37.3 (ranged from 5 to 49) years, mean weight 60.4 (ranged from 17 to 88) kg were studied. The septal defect appeared as follow: type of centre in 22, type of below centre in 1 and all were single. The diameter of ASD (balloon stretched diameter) was 2.8～3.6cm. 23 patients underwent the proceduce with AGA Amplatzer occlusion device under fluoroscopic and transesophageal echocardiography (TEE). The Amplatzer occluder size was chosen to be equal or 2～4mm more than the streched diameter of ASD. Results: Of 23 patients, 21 were successfully treated, success rate was 92%. No complications were observed in 23 except 2 with the devices removed. Conclusion: The AGA Amplatzer device is an effective and safe method for the treatment of large ASD. but it is important that prevents the complication of device removed.
出处
《中国医学影像学杂志》
CSCD
2002年第4期269-270,共2页
Chinese Journal of Medical Imaging
