| 封堵器植入后感染性心内膜炎的初步认识及诊治进展 |
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| 引用本文： | 杨呈伟,李炯佾,徐仲英等.封堵器植入后感染性心内膜炎的初步认识及诊治进展[J].中华临床医师杂志(电子版),2014(10):1910-1914. |
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| 作者姓名： | 杨呈伟 李炯佾 徐仲英等 |
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| 作者单位： | [1]青岛阜外心血管病医院放射科,山东省266034; [2]中国医学科学院北京协和医学院心血管病研究所阜外心血管病医院放射科;,山东省266034; [3]首都医科大学附属北京安贞医院介入放射科,山东省266034; |
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| 基金项目： | 青岛市公共领域科技支撑计划（12-1-3-14-nsh） |
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| 摘 要： | 经导管封堵术主要用于治疗先天性心脏病间隔缺损,也用于其他心内或心外异常分流,如瓣膜置换术后瓣周漏。封堵器植入后感染性心内膜炎(IE)非常罕见,资料较完整者仅有18例报道,但是一旦发生则非常严重,随着经皮封堵装置临床应用的日益广泛,该类并发症须引起足够重视,甚至对封堵术前、术中及术后预防性应用抗生素方案也可能需要重新评价。本文对封堵器植入后IE的初步认识及诊治进展进行综述。
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| 关 键 词： | 心内膜炎 亚急性细菌性 介入治疗 封堵器 |
Current knowledge of occluder device-associated endocarditis |
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| Institution: | Yang Chengwei, Li Jiongyi, Xu Zhongying, Zhao Shihua, Wu Wenhui( Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China) |
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| Abstract: | The percutaneous approach remains an increasingly utilization and valuable method of treating congenital heart disease （CHD） and perivalvular leak. Although reportedly rare, infective endocarditis （IE） as a complication may become more widely recognized as the use of percutaneous occluder devices increases and the population of patients with indwelling prostheses grows. Eighteen previous cases of IE after occluder device implantation have been reported. The increasing use of intracardiac devices may require a reevaluation of the possible need for administration of prophylactic antibiotics before, during, or after the procedure and the type of antibiotics to be given. The current knowledge of occluder device-associated IE was reviewed in this article. |
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| Keywords: | Endocarditis subacute bacterial Intervention closure device |
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