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超声心动图在Amplatzer封堵器介入治疗房间隔缺损中的临床应用 被引量:1

Applied value of transthoracic echocardiography during atrial septal defect(ASD) with Amplatzer occluder
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摘要 目的探讨超声心动图在Amplatzer封堵器介入治疗房间隔缺损中的临床应用价值。方法术前应用经超声心动图行术前筛选76例房间隔缺损病人,术中经超声监测指导释放封堵器,术后随访观察。结果单纯II孔型房间隔缺损40例,全部成功封堵(100%),边缘不全型10例,成功封堵9例(90%),巨大型房间隔缺损12例,全部成功封堵(100%),多孔房间隔缺损8例,成功封堵6例(75%),合并房间隔膨出瘤6例,全部成功封堵(100%)。其中22例出现二、三尖瓣反流或残余分流,经调整封堵器的位置和方向后,16例反流即刻消失,6例术后6个月内消失。结论超声心动图是介入治疗房间隔缺损手术顺利成功的保证。 Objective To study the clinical significance of transthoracic echocardiography (TFE)in the interventional treatment of seeundum atrial septal defect (ASD) with Amplatzer occluders. Methods TIE study was performed before the interventional therapy to select 76 cases ASD. The defect closures were monitored and guided with TTE throughout the procedure, The configuration of occluder,the instance of valve counter current and shunt around the occluder were observed. Results Forty cases ASD II and 12 cases large ASD were all subjected to occulusion procedure successfully. 9 cases were subjected to occulusion procedure successfully in 10 cases ASD with ineompete side. 6 cases (75%) multiple ASD were subjected to occulusion procedure successfully. 6 cases atrial septal aneurysm were all subjected to occulusion procedure successfully. In 22 cases, mitral valve, tricuspid valve had shunt or small shunt. After regulating the position and direction of the occluder, 16 cases shunt disappeared immdiately and 6 cases disappeared among 6 months. Conclusions TTE is a useful approach to the preliminary selection of appropriate ASD, and it is inval- uable for effective evaluation and prognosis assessment.
出处 《医学信息(内.外科版)》 2009年第11期969-970,共2页 Medical Information Operations Sciences Fascicule
关键词 经胸超声心动图 房间隔缺损 AMPLATZER封堵器 transthoracia echocardiography atrial septal defect amplatzer occlude
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  • 1Du ZD, Koenig P, Cao QL, et al. Comparison of transcatheter closure of secundum atrial septal defect using the Amplatzer septal occluders asso- ciated with deficient versus sufficient rims [ J ]. Am J Cardiol,2002,90 : 865 - 869.

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