| 9例巨大肺动静脉瘘经导管封堵治疗分析 |
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| 引用本文： | 王承,潘欣,马建伟,陆静,吴卫华,方唯一.9例巨大肺动静脉瘘经导管封堵治疗分析[J].上海交通大学学报(医学版),2011,31(3). |
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| 作者姓名： | 王承 潘欣 马建伟 陆静 吴卫华 方唯一 |
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| 作者单位： | 上海交通大学附属上海市胸科医院心内科; |
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| 摘 要： | 目的总结巨大肺动静脉瘘的介入治疗方法及效果。方法回顾9例引入血管直径>5 mm的巨大肺动静脉瘘患者介入治疗过程。介入治疗前患者均接受右心导管检查和肺动脉造影术以了解瘘管的形态、大小和走行,确定拟栓塞的引入血管并准确测量血管直径。选用Amplatzer Plug或国产PDA封堵器进行封堵。结果 9例患者共计引入血管11条,均封堵成功;共置入Amplatzer Plug 6枚,国产PDA封堵器4枚。术后股动脉血氧饱和度显著升高至接近正常水平。结论对于引入血管直径>5 mm的巨大肺动静脉瘘,Amplatzer Plug或国产PDA封堵器经导管封堵是一种有效且安全的介入治疗方法。
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| 关 键 词： | 肺动静脉瘘 介入治疗 右心导管检查 肺动脉造影术 |
Clinical analysis of transcatheter occlusion of huge pulmonary arteriovenous fistula in 9 patients |
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| WANG Cheng,PAN Xin,MA Jian-wei,LU Jing,WU Wei-hua,FANG Wei-yi.Clinical analysis of transcatheter occlusion of huge pulmonary arteriovenous fistula in 9 patients[J].Journal of Shanghai Jiaotong University:Medical Science,2011,31(3). |
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| Authors: | WANG Cheng PAN Xin MA Jian-wei LU Jing WU Wei-hua FANG Wei-yi |
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| Institution: | WANG Cheng,PAN Xin,MA Jian-wei,LU Jing,WU Wei-hua,FANG Wei-yi(Department of Cardiology,Shanghai Chest hospital,Shanghai Jiaotong University,Shanghai 200030,China) |
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| Abstract: | Objective To summarize the procedures and outcomes of interventional therapy for huge pulmonary arteriovenous fistula. Methods The treatment procedures of 9 patients with huge pulmonary arteriovenous fistula whose inlet blood vessels were larger than 5 mm in diameter were retrospectively analysed.The appearance,size and route of the fistula were learned by right heart catheterization and pulmonary arteriography before interventional therapy,the inlet vessels to be occluded were determined,and the diameters ... |
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| Keywords: | pulmonary arteriovenous fistula interventional therapy right heart catheterization pulmonary arteriography |
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