| 经导管封堵治疗成人巨大房间隔缺损的临床疗效及其安全性 |
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| 引用本文： | 康振峻,宋治远,姚青,仝识非,李永华,李华康,张志辉.经导管封堵治疗成人巨大房间隔缺损的临床疗效及其安全性[J].第三军医大学学报,2011,33(8):838-840. |
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| 作者姓名： | 康振峻 宋治远 姚青 仝识非 李永华 李华康 张志辉 |
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| 作者单位： | 第三军医大学西南医院心血管内科,重庆市介入心脏病学研究所,重庆,400038 |
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| 摘 要： | 目的通过对巨大型房间隔缺损(atrial septal defect,ASD)封堵术后的随访观察,评价经导管封堵ASD的临床疗效与安全性。方法选择在我科成功进行经导管封堵治疗、ASD直径在30mm以上并完成1年以上随访的87例患者为研究对象,分别记录患者术前、术中及术后随访资料,分别术后3d、1、6个月及1年各查心电图及经胸超声心动图(TTE)1次,并对所有资料进行回顾性分析。结果 87例ASD患者TTE测量ASD直径30~38(33.8±1.85)mm,置入封堵器直径36~42(39.2±1.38)mm。术中2例发生一过性Ⅰ度及Ⅱ度房室传导阻滞,1例发生一过性窦性心动过缓。在长达1年的随访期间,所有患者右心房、右心室内径均明显缩小(P<0.05),左心室舒张末期内径则逐渐增大,但仍在正常范围。随访1年时,2例患者遗留完全性右束支传导阻滞,无严重并发症发生。结论经导管封堵巨大ASD安全、有效,术后右心房及右心室可逐渐恢复正常,达到根治ASD之目的。
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| 关 键 词： | 经胸超声心动图 封堵器 巨大型房间隔缺损 |
Evaluation of clinical effect and safety of transcatheter closure on adult large atrial septal defect |
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| Kang Zhenjun,Song Zhiyuan,Yao Qing,Tong Shifei,Li Yonghua,Li Huakang,Zhang Zhihui.Evaluation of clinical effect and safety of transcatheter closure on adult large atrial septal defect[J].Acta Academiae Medicinae Militaris Tertiae,2011,33(8):838-840. |
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| Authors: | Kang Zhenjun Song Zhiyuan Yao Qing Tong Shifei Li Yonghua Li Huakang Zhang Zhihui |
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| Institution: | Kang Zhenjun,Song Zhiyuan,Yao Qing,Tong Shifei,Li Yonghua,Li Huakang,Zhang Zhihui(Department of Cardiology,Southwest Hospital,Third Military Medical University,Chongqing,400038,China) |
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| Abstract: | Objective To evaluate the clinical effect and safety of transcatheter closure on adult large atrial septal defect(ASD) through the follow-up observation.Methods Eighty-seven patients having received the transcatheter closure for ASD(diameter >30 mm) in the our department,and been followed up for more than 1 year were enrolled as the subjects.The patients were examined by electrocardiography(ECG) and transthoracic echocardiography(TTE) before and 3 d,1 month,6 months and 1 year after the operation.The patien... |
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| Keywords: | transthoracic echocardiography occluder atrial septal defect |
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