| 室间隔缺损封堵器关闭婴儿大管型动脉导管未闭的初步评价 |
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| 引用本文： | 谢育梅,张智伟,李渝芬,钱明阳,石继军,王树水. 室间隔缺损封堵器关闭婴儿大管型动脉导管未闭的初步评价[J]. 临床儿科杂志, 2009, 27(6) |
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| 作者姓名： | 谢育梅 张智伟 李渝芬 钱明阳 石继军 王树水 |
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| 作者单位： | 广东省心血管病研究所广东省人民医院心儿科,广东广州,510080 |
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| 摘 要： | 目的 应用国产室间隔缺损封堵器关闭婴儿大管型动脉导管未闭并对其疗效进行初步评价.方法 2007年5月-2008年2月就诊的10例4～9个月婴儿经主动脉造影确诊为大管型动脉导管未闭,最窄处内径为4.1～7.4 mm,长度7.9～11.9 mm,合并中～重度的肺动脉高压.选用6～12 mnl国产肌部或膜部室间隔缺损封堵器进行介入治疗,术后主动脉造影、术后24 h及1～6个月进行超声心动图随访观察疗效.结果 全组技术成功率100%,术后主动脉造影和超声心动图显示无残余分流.随访超声心动图无明显降主动脉缩窄,1例左肺动脉轻度狭窄.无其他不良并发症.结论 室间隔缺损封堵器可用于关闭婴儿粗大管型的动脉导管未闭,成功率高,近期疗效肯定,中远期疗效需随访观察.
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| 关 键 词： | 动脉导管末闭 封堵器 经导管关闭 婴儿 |
Initial experience in transcatheter closure of large patent ductus arteriosus in infants using locally-made symmetrical VSD occluder |
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| XIE Yu-mei,ZHANG Zhi-wei,LI Yu-fen,QIAN Ming-yang,SHI Ji-jun,WANG Shu-shui. Initial experience in transcatheter closure of large patent ductus arteriosus in infants using locally-made symmetrical VSD occluder[J]. The Journal of Clinical Pediatrics, 2009, 27(6) |
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| Authors: | XIE Yu-mei ZHANG Zhi-wei LI Yu-fen QIAN Ming-yang SHI Ji-jun WANG Shu-shui |
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| Affiliation: | Guangdong Cardiovascular Institute;Department of Pediatric Cardiology;Guangdong Provincial People's Hospital;Guangzhou 510080;Guangdong;China |
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| Abstract: | Objective To evaluate the feasibility and efficacy of transcatheter closure of large fistular patent arterial duct (PDA) in infants by using locally-made symmetrical ventricle septal defect (VSD) occluder. Methods Ten patients (seven females and 3 male, mean age of 7.1 months, mean weight of 5.6 kilograms, the lowest weighing 4.5 kilograms) with large PDA (width ranging from 4.1 to 7.4 mm, length from 7.9 to 11.9 mm) underwent percutaneous closure with locally-made symmetrical ventricle septal defect (VSD) ... |
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| Keywords: | patent ductus arteriosus occluder transcatheter closure infants |
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