摘要
目的:经导管置入Amplatzer 封堵器治疗二孔型心房间隔缺损(ASD,中央型) ,并对其疗效进行初步评价。方法:全组34 例,年龄31-00 ±15-74 岁(5 ~53 岁) ,体重50-69 ±16-62 kg(18 ~79 kg) ,术前经食管超声心动图(TEE) 检查示ASD直径平均为16-94 ±5-38 m m(6 ~28 m m) 。所有病例均在透视及经食管超声心动图(TEE) 监视下经导管置入Amplatzer 封堵器封堵ASD。术后24 小时、1 个月、3 个月及1 年分别行经胸超声心动图(TTE) 、心电图及X 线胸片检查评价治疗效果。结果:34 例ASD 直径的球囊测量值为21-82 ±5-31 m m(8 ~32 m m) ,选择的封堵器直径为23-62 ±5-52 m m(10 ~34 m m) 。34 例封堵器置入均获得成功,技术成功率为100 % ,术中未发生任何并发症,无急诊手术病例。34 例术后即刻TEE 显示10 例(29-4 % ) 存在微量~少量残余分流。术后24 小时行TTE 检查示3 例(8-8 % ,残余少量左向右分流;术后1 个月TTE 示2 例(5-9 % ) 存在少量分流。X 线胸片检查:全部显示肺血减少、右心房室缩?
Objective: To evaluate the efficiency and priliminary results of transcatheter closure of secundum atrial septal defect (ASD) using Amplatzer occluder device Methods: There was 34 patients The mean age was 31 00±15 74 years (ranging from 5 to 53 years) and the mean weight was 50 69±16 62 kg (raning from 18 to 79 kg) Transesophageal echocardiography (TEE) before the interventions confirmed the ASD with a diameter of 16 94±5 38 mm (ranging from 6 to 28 mm) Each case with ASD was treated using Amplatzer occluder device through the percutaneous procedure The procedures were carried out under guiding fluoroscopy and TEE After the procedure, TEE were performed immediately to find whether there was residual shunt Transthoracic echocardiography (TTE), ECG and X ray examination were done 24 hours, 1 month, 3 month and 1 year after the procedure to evaluate the efficiency Results: The mean balloon stretched diameter of the ASDs was 21 82±5 31 mm (ranging from 8 to 32 mm) The mean diameter of the occluder selected was 23 62±5 52 mm (ranging from 10 to 34 mm) The successful rate of placement of the Amplatzer occluder was 100% No any complication occurred during the procedures, and no needed for emergency surgery Trivial to small residual shunts were found in 10 cases (29 4%) immediately after the procedures, in 3 cases (8 8%) 24 hours after the procedures and in 2 cases (5 9%) 1 month after the procedures All of 34 patients completed 3 month follow up and there was no residual shunt found Six patients carried out 1 year follow up and no residual shunt and recanalization were found Conclusion: Transcatheter closure of secundum ASD using Amplatzer septal occluder device was an efficient nonsurgical method, especially to the ASDs with a larger size diameter It had a high successful rate of placement and satisfied immediate and short and mid term results, but the and long term follow up was needed
出处
《中国循环杂志》
CSCD
北大核心
1999年第A09期7-10,共4页
Chinese Circulation Journal