血管造影测量技术在小儿先天性心脏病中的应用

Application of the angiographic measurement technology in children with congenital heart disease

目的：探讨血管造影后处理系统测量技术在小儿先天性心脏病中的应用。方法：选取行介入封堵治疗患儿70例,其中动脉导管未闭50例,室间隔缺损20例。使用飞利浦FD20血管造影机,ACIST CVI高压注射器,碘克沙醇320造影剂,总量设定为1-1.5 ml/kg,〈10岁的患儿选用5 F猪尾造影管,〉10岁的患儿选用6 F猪尾造影管进行术中测量,软件为血管造影机自带测量软件,选择导管校准测量,术后对比分析。结果：67例根据病变形态和测量结果成功置入封堵器,术后恢复正常,未出现并发症。其中2例出现术中封堵器脱落,改外科治疗,1例出现Ⅲ度房室传导阻滞而放弃。结论：血管造影的后处理测量功能具有操作简便易行,测量准确等优点,为介入器材型号的选择提供了重要依据。

Objective： To discuss the application processing system after angiography measurement techniques in children with congenital heart disease. Methods： In our hospital in 2012 interventional transcatheter therapy in children with 70 cases, of which PDA50 cases, VSD20 patients, aged 2-25 years, mean age 11.4 years, including 24 males and 46 females, Philips FD20 angiography, ACIST CVI pressure syringe, the contrast agent iodixanol-320, the total amount of contrast agent is set to 1-1.5 ml / kg body weight, 10 years of age selection 5 F pigtail imaging tube, over the age of 10 chosen 6F pigtail intraoperative imaging tube measurements, angiography machine comes with software for measuring software, select the catheter calibration measurements, after comparative analysis. Results： According to the results of 67 cases successfully implanted lesion morphology and measurements occluder, normal postoperative recovery without any complications. Two cases of intraoperative occluder off, change the surgical treatment, 1 patient had Ⅲ degree atrioventricular block and give up. Conclusion： Angiographic measurements after treatment has simple operation, accurate measurement, etc., interventional equipment models provide an important basis for selection.