经股静脉途径一次性完成房室间隔复合型缺损的介入治疗

Transfemoral vein simultaneous transcatheter therapy of ventricular septal defect combined with atrial septal defect

目的探讨经股静脉途径一次性完成室间隔缺损（VSD）合并房间隔缺损（ASD）的可行性、方法及疗效。方法 5例患者,术前超声检查均确诊为VSD合并ASD。年龄3~21岁,VSD直径4.5~7.6 mm,ASD直径8~21 mm。5例患者均于术中先行左心室造影,确定VSD适合封堵后,首先封堵VSD,然后封堵ASD。结果 5例患者均单纯经股静脉途径一次介入治疗成功。患者术中及术后均无并发症。结论经股静脉途径一次性完成房室间隔复合型缺损的介入治疗具有技术上的可行性、创新性和良好的治疗效果。

Objective To evaluate the possibility,methodology and efficiency of transfemoral vein simultaneous transcatheter therapy for ventricular septal defect（VSD） combined with atrial septal defect（ASD）.Methods Five cases with VSD combined with ASD were diagnosed by the echocardiography before the procedure.Age ranged from 3 to 21 years old.The diameters of VSD were 4.5-7.6 mm,and the diameters of ASD were 8-21 mm.Before the procedure,the possibility of VSD occlusion in five cases were evaluated by left ventriculograph.VSD were occluded using VSD occluder first and the ASD were occluded later on.Results Five cases were treated successfully through transfemoral vein simultaneous transcatheter therapy.No complication occurred in the operation and follow-up.Conclusion Transfemoral vein simultaneous transcatheter therapy for VSD combined with ASD is feasible,creative and effective.