8例儿童先天性冠状动脉瘘的介入治疗

Transcatheter therapy in 8 cases of children with congenital coronary artery fistula

目的总结先天性冠状动脉瘘（CAF）的临床特征及介入治疗效果，探讨经导管介入治疗CAF的方法及治疗原则。方法2006-2011年在该中心行心导管介入治疗8例先天性CAF患儿，对患儿的临床表现、CAF类型及其介入治疗路入途径、堵闭器类型、堵闭效果及随访进行回顾性分析。结果8例患儿均成功封堵，术后随访6个月至5年，无残余分流及其他并发症。结论经导管介入治疗先天性CAF安全、有效，应严格掌握手术适应证。

Objective To summarize clinical features and intervention therapeutic effect of congenital coronary artery fistulas （CAF） ,and to explore the method and therapeutic principle of transcatheter closure therapy. Methods 8 children in heart center of Childrenrs Hospital Affiliated to Chongqing Medical University from 2006 to 2011 were conducted with transeatheter therapy,the including clinic feature,the type of CAF,the type of occluder were analyzed retrospectively. Results Transcatheter closure of all ca- ses were successful. No residual shunt and other complications occurred,during the follow-up period of 6 months to 5 years. Conclu- sion Transcatheter closure treatment is a safe and effective method for congenital CAF.