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经导管介入治疗动脉导管未闭的疗效评价
引用本文:伍广伟,黄从新,王风,林英忠,王孟杰,赵毅兰,卢志红,蒙绪宁.经导管介入治疗动脉导管未闭的疗效评价[J].微创医学,2006,1(5):352-353.
作者姓名:伍广伟  黄从新  王风  林英忠  王孟杰  赵毅兰  卢志红  蒙绪宁
作者单位:1. 广西壮族自治区人民医院心内科,南宁,530021
2. 武汉大学人民医院,湖北武汉,4300727
摘    要:目的观察经导管封堵器治疗动脉导管未闭(Patentductusarterious,PDA)的临床疗效。方法对31例PDA患者应用国产蘑菇伞动脉导管封堵器,经静脉途径行封堵治疗,合并肺动脉瓣狭窄者,先行球囊扩张术,再行PDA封堵治疗;合并房间隔缺损者,先行PDA封堵治疗,后行房间隔缺损封堵术。术后即刻X线造影观察疗效,24h、1个月、3个月、1年应用超声心动图评价治疗效果。结果31例患者植入封堵器均获成功,全组技术成功率100%;术后肺动脉平均压较术前明显下降。术中无任何严重并发症,随访1个月至3年,未发现残余分流、封堵器移位、溶血、血栓或主、肺动脉狭窄。结论经导管法介入治疗PDA,安全有效,创伤小,成功率高,操作简单。

关 键 词:动脉导管未闭  介入治疗  封堵器
文章编号:1673-6575(2006)05-0352-02

Effect of transcatheter closure on patent ductus arterious
WU Guang-wei,HUANG Cong-xin,WANG Feng,LIN Ying-zhong,WANG Meng-jie,ZHAO Yi-lan,LU Zhi-hong,MENG Xu-ning.Effect of transcatheter closure on patent ductus arterious[J].Minimally Invasive Medicine Journal,2006,1(5):352-353.
Authors:WU Guang-wei  HUANG Cong-xin  WANG Feng  LIN Ying-zhong  WANG Meng-jie  ZHAO Yi-lan  LU Zhi-hong  MENG Xu-ning
Abstract:Objective To evaluate the clinical effect of transcatheter closure on patent ductus arterious (PDA) with occluder device. Methods Thirty-one PDA patients received transcatheter closure with domestic devices. The combined congenital heart diseases including ventricular septal defect or atrial septal defect or aortic coartction were also treated by intervention device. And echocardiography examination was done at 24h,1 month,3 months and 1 year after procedure. Results The success rate was 100%. No complications occurred. No residual shunts , occluder displaced, hemolysis, thromboembolism and main pulmonary artery stenosis were found during 1 month to 3 years follow-up after transcatheter closure. Conclusion Transcatheter closure is effective , safe and convenient in the treatment of PDA with excellent success rate.
Keywords:Patent ductus arterious  Intervention  Closure  Occluder
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