| 冠状动脉—肺动脉瘘的DSA表面和栓塞治疗 |
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| 引用本文： | 林琳,田建明,袁敏,章韵,张维娥,秦永文. 冠状动脉—肺动脉瘘的DSA表面和栓塞治疗[J]. 临床放射学杂志, 2001, 20(2): 121-123 |
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| 作者姓名： | 林琳 田建明 袁敏 章韵 张维娥 秦永文 |
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| 作者单位： | 1. 上海第二军医大学附属长海医院放射科
2. 上海第二军医大学附属长海医院心内科 |
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| 摘 要： | 目的 探讨冠状动脉－肺动脉瘘的DSA表面及栓塞治疗的疗效。材料与方法 经股动脉插管选择性冠状动脉造影，分析冠状动脉－肺动脉瘘的DSA,确诊后采用聚乙烯醇颗粒及软钢丝栓塞。结果 9例冠状动脉－肺动脉瘘均被造影所证实。2例较粗大的瘘，分别3次用聚乙烯醇泡沫全塞及软网丝栓塞，再次选择性冠状动脉造影显示冠状动脉－肺动脉瘘完全被阻塞。结论 选择性冠性动脉造影是诊断冠状动脉－肺动脉瘘的最佳方法。对较大的瘘，临床有症状者可用介入栓塞治疗，其操作简单、创伤小、安全可靠、预后佳，最一种较理想的治疗方法。
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| 关 键 词： | 先天性心脏病 冠状动脉瘘 数字减影血管造影术 栓塞疗法 疗效 |
| 修稿时间： | 2000-10-13 |
DSA Manifestations ofCoronary-to-Pulmonary Artery Shunt and its Embolization TherapyLIN Lin |
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| LIN Lin,TIAN Jianming,YUAN Ming,et al.. DSA Manifestations ofCoronary-to-Pulmonary Artery Shunt and its Embolization TherapyLIN Lin[J]. Journal of Clinical Radiology, 2001, 20(2): 121-123 |
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| Authors: | LIN Lin TIAN Jianming YUAN Ming et al. |
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| Affiliation: | LIN Lin,TIAN Jianming,YUAN Ming,et al. Department of Radiology,The Affiliated Changhai Hospital,No.2 Military Medical University,Shanghai 200433,P.R.China |
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| Abstract: | Objective To study DSA manifestations of coronary to pulmonary artery shunt, and to assess the effectiveness of embolization therapy.Materials and Methods DSA findings in 9 patients with coronary to pulmonary artery shunt, diagnosed with selective coronary angiography, were analyzed, and embolization therapy with polyvinyl alcohol particles and soft steel wire was made.Results Of 9 patients, 2 had larger shunt, which was embolized three times with polyvinyl alcohol particles and soft steel wire. After the procedures, selective angiography confirmed that the shunt was completely occluded.Conclusion Selective coronary arteriography is of first choice for diagnosing coronary to pulmonary artery shunts. Embolization is a safe and minimum invasive therapy, and it should be adopted in symptomatic patients with larger shunt. |
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| Keywords: | Coronary vessel anomaly DSA Embolization therapeutic |
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