先天性冠状动脉瘘的介入治疗效果的评估

目的总结先天性冠状动脉瘘（CAF）的临床解剖特征及介入治疗效果,探讨经导管介入治疗冠状动脉瘘方法及治疗原则.方法采用由动脉系统送入输送长鞘及堵闭器堵闭法和经静脉系统逆行送入输送长鞘及堵闭器堵闭法,应用弹簧圈、动脉导管未闭堵闭器以及室间隔缺损封堵器进行介入手术治疗.结果 13例均成功封堵,术后随访1～18个月,无残余分流及其他并发症.结论经导管介入治疗对先天性冠状动脉瘘疗效良好,但应严格掌握手术适应症,根据冠状动脉瘘的临床解剖特征合理选择封堵器械,减少手术并发症,提高手术成功率。

Therapeutic Effect of Transcatheter Intervention Congenital Coronary Artery Fistulas

Objective To summarize clinical anatomical features and intervention therapeutic effect of congenital coronary artery fistulas,and then to explore the method and therapeutic principle of transcatheter closure of congenital coronary artery fistulas.Method Interventional occlusion of coronary artery fistulas with coils,occluder of patent ductus arteriosus and ventricular septal defect by transporting sheaths and occluder from vein and artery.Results Transcatheter closure of 13cases were successful.No residual shunt and other complications occurred,during the follow-up period of 1month to 18 months.Conclusions Transcatheter closure treatment is an effective method for congenital coronary artery fistulas.It is vital for the occlusion success and prevention from complication to strictly select indications,and choose the suitable occluder according to the clinical anatomy of the coronary artery fistulas.