儿童常见先天性心脏病介入封堵治疗相关血管并发症(附4例报告)

目的 总结儿童常见先天性心脏病(先心病)经皮介入封堵治疗相关血管并发症的临床资料,为临床防治提供借鉴.方法 回顾性分析2009年1月至2020年8月青岛市妇女儿童医院心脏中心经皮介入封堵治疗的1142例常见先心病患儿,总结分析手术相关血管并发症患儿的临床资料.结果 共纳入4例血管并发症患儿,穿刺部位股动静脉瘘1例(0....

Interventional vascular complications in children with common congenital heart disease: A report of 4 cases

Objective To summarize the clinical data of the interventional vascular complications in children with common congenital heart disease(CHD),and to provide reference for clinical prevention and treatment.Methods January 2009 to August 2020,1142 children with common CHD were treated with transcatheter closure in Qingdao Women and Children’s Hospital. The clinical data of children with vascular complications were summarized and analyzed.Results and 3 cases of femoral artery pseudoaneurysm(0.26%). All the patients were treated with manual compression over the puncture site,and the recovery was ideal without surgical intervention or serious complications.Conclusion Mastering the anatomic structure of femoral vessels,choosing the right interventional equipment,mastering the technique of vascular puncture for infants and avoiding repeated and multiple puncture can reduce the vascular complications. If it happens,early detection and treatment are the key to avoiding serious consequences. Surgical treatment is not the first choice,and most of them can achieve full recovery after manual compression treatment.