| 经食管超声引导下介入封堵治疗房间隔缺损的应用研究 |
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| 引用本文： | 张纯,李治安. 经食管超声引导下介入封堵治疗房间隔缺损的应用研究[J]. 心肺血管病杂志, 2011, 30(4): 300-302. DOI: 10.3969/j.issn.1007-5062.2011.04.010 |
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| 作者姓名： | 张纯 李治安 |
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| 作者单位： | 首都医科大学附属北京安贞医院-北京市心肺血管疾病研究所,超声医学科,北京,100029 |
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| 摘 要： | 目的:探讨非X线监测下采用经食管超声(TEE),在内科介入封堵治疗房间隔缺损(ASD)中的应用价值。方法:继发孔型ASD患者31例,缺损大小10～30 mm。所有病例完全采用在TEE引导下,置入Amplatzer封堵器闭合ASD,监测封堵的全过程,并在封堵后即刻评价疗效。结果:31例患者在TEE监测引导下封堵器置入均获成功,术中即刻观察仅有3例患者封堵器边缘存在微量残余分流。结论:内科介入封堵治疗ASD时,若适应证选择恰当,在经验丰富操作熟练的术者实施下,可不依赖X线监测,将TEE作为唯一监测和引导手段完成封堵,且方法简便、效果可靠、费用低廉并减少了X线的损伤。
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| 关 键 词： | 食道超声 房间隔缺损 封堵 介入 非X线监测 |
Role of transesophageal echocardiography guidance and monitoring in medical interventional closure of atrial septal defects |
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| ZHANG Chun,LI Zhian. Role of transesophageal echocardiography guidance and monitoring in medical interventional closure of atrial septal defects[J]. Journal of Cardiovascular and Pulmonary Diseases, 2011, 30(4): 300-302. DOI: 10.3969/j.issn.1007-5062.2011.04.010 |
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| Authors: | ZHANG Chun LI Zhian |
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| Affiliation: | ZHANG Chun,LI Zhian Department of Ultrasonography,Capital Medical University affiliated Anzhen Hospital-Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China |
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| Abstract: | Objective:To assess the application value of transesophageal echocardiography in medical interventional closure of atrial septal defect(ASD) without x ray monitoring.Methods: Thirty one patients were involved in this study.The defect diameter was 10-30 mm.Each patient was positioned a Amplatzer device to close the defect in monitoring and guarding by TEE.To evaluate the therapeutic effect shortly after operation.Results:All patients were successfully positioned closure devices by TEE monitoring and guiding.... |
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| Keywords: | Transesophageal echocardiography Atrial septal defect Closure Intervention Without x ray monitoring |
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