| 小腰大边型封堵器在膜部瘤室间隔缺损介入治疗中的应用 |
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| 引用本文： | 高虹,董少红,张智伟,罗林杰,陈科奇,陈焕展,刘华东. 小腰大边型封堵器在膜部瘤室间隔缺损介入治疗中的应用[J]. 岭南心血管病杂志, 2010, 16(1): 16-20. DOI: 10.3969/j.issn.1007-9688.2010.01.007 |
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| 作者姓名： | 高虹 董少红 张智伟 罗林杰 陈科奇 陈焕展 刘华东 |
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| 作者单位： | 1. 暨南大学第二临床医院心内科,广东深圳,518020
2. 广东省人民医院,广东省医学科学院广东省心血管病研究所,广州,510100 |
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| 摘 要： | 目的探讨小腰大边型封堵器在室间隔膜部瘤介入治疗中的应用及疗效。方法回顾性分析68例室间隔缺损伴膜部瘤患者进行小腰大边封堵器介入治疗的临床资料,术中左心室造影,根据瘤体形态分为4种类型,选择4～14mm封堵器进行封堵。术后24h、1个月、3个月、6个月、12个月予以胸片、心电图、经胸超声心动图检查。结果本组68例采用小腰大边封堵器进行封堵室间隔缺损的患儿,成功率94%(62/68)。术后24h复查超声心动图,8例少量残余分流。术后1年复查残余分流消失。术后随访,6个月时右心室流出道(RVOT)血流速度降低,心/胸比例(C/T)、肺动脉平均压(MPAP)、左心室舒张末内径(LVEDD)、左心室舒张末压力(LVEDP)均有下降,左心室短轴缩短率(FS)升高(P0.01)。9例传导阻滞患者心电图术后3个月均恢复正常。结论小腰大边型封堵器在室间隔膜部瘤介入治疗中的应用是安全和可行的。
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| 关 键 词： | 室间隔缺损,膜部瘤 介入治疗 堵闭器 随访研究 |
Application of interventional therapy using A482(thin waist type)occluder for perimembranous ventricular septal defect with aneurysm |
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| GAO Hong,DONG Shao-hong,ZHANG Zhi-wei,LUO Lin-jie,CHEN Ke-qi,CHEN Huan-zhan,Liu Hua-dong. Application of interventional therapy using A482(thin waist type)occluder for perimembranous ventricular septal defect with aneurysm[J]. South China Journal of Cardiovascular Diseases, 2010, 16(1): 16-20. DOI: 10.3969/j.issn.1007-9688.2010.01.007 |
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| Authors: | GAO Hong DONG Shao-hong ZHANG Zhi-wei LUO Lin-jie CHEN Ke-qi CHEN Huan-zhan Liu Hua-dong |
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| Affiliation: | 1.Department of Cardiology/a>;Second Clinical Medical College of Jinan University/a>;Shenzhen Guangdong 518020/a>;China/a>;2.Guangdong Cardiovascular Institute/a>;Guangdong Academic of Medical Sciences/a>;Guangdong General Hospital/a>;Guangzhou 510100/a>;China |
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| Abstract: | Objectives To evaluate the effectiveness of interventional therapy using A4B2 (thin waist type) occluder for perimembranous ventricular septal defect with pseudoaneurysm. Methods We used thin waist type occluder in interventional therapy for the 68 patients with perimembranous ventricular septal defect with pseudoaneurysm. The ventricular septal defects with aneurysems were classified into four types and measured by left ventriculography. The diameter of the occluders ranged from 4-14 mm.Transthroacic echoc... |
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| Keywords: | ventricular septal defect membranous aneurysm interventional therapy occluder follow-up study |
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