应用ICE指导经皮介入封堵双孔型房间隔缺损1例报道

Percutaneous transcatheter closure of double-holes atrial septal defect guided by ICE:a case report

本文报道1例心腔内超声心动图(intracardiac echocardiography,ICE)指导下的双孔型房间隔缺损(atrial septal defect,ASD)介入封堵术。患者术前经胸超声心动图(transthoracic echocardiography,TTE)提示为双孔型ASD(继发孔型),大小分别为12 mm和13 mm,两处相距约6 mm;在数字减影血管造影(digital subtraction angiography,DSA)及ICE引导下,成功应用20 mm小腰大边ASD封堵器进行封堵,术后即刻ICE提示房间隔无分流,封堵器位置、大小、形态良好,对周围结构无影响。

This paper reports a case of intracardiac echocardiography(ICE)-aided catheter-based closure with double-holes atrial septal defect(ASD).The patient was diagnosed as double-holes secundum ASD by transthoracic echocardiography(TTE),and the size of two holes was 12 mm and 13 mm respectively.The distance between the two holes was about 6 mm.Under the guidance of digital subtraction angiography(DSA)and ICE,the 20 mm septal occlude(small waist and large atrial)was successfully applied to the patient.Immediately after the closure,ICE indicated that there was no atrial septal shunt;the position,size and shape of the device were suitable;and there is no influence to the surrounding structures.