[1]丁仲如,黄国明,涂小文,等.应用国产零边封堵器治疗嵴内型室间隔缺损疗效观察[J].介入放射学杂志,2008,(02):85.
　DING Zhongru,HUANG Guoming,TU Xiaowen,et al.Transcatheter closure of intracristal ventricular septal defect with Chinese made eccentric nitinol occluder[J].journal interventional radiology,2008,(02):85.
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应用国产零边封堵器治疗嵴内型室间隔缺损疗效观察()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年02期
页码:
85
栏目:
心脏介入
出版日期:
2008-02-15

文章信息/Info

Title:
Transcatheter closure of intracristal ventricular septal defect with Chinese made eccentric nitinol occluder
作者:
丁仲如; 黄国明; 涂小文; 等
３３０００２南昌解放军第九四医院心内科
Author(s):
DING Zhong－ru; HUANG Guo－ming; TU Xiao－wen; WANG Hong－ru; QIAO Huai－yu; HAN－Qinping; YU Yan－li; WANG Zhen－li; WEN－Pin．
The９４th Hospital of PLA，Nanchang３３０００２，China
关键词:
嵴内型室间隔缺损; 介入治疗; 疗效; 安全性
分类号:
R５４１.１
文献标志码:
A
摘要:
目的探讨应用国产零边偏心型封堵器治疗１６例嵴内型室间隔缺损（IVSD）疗效及安全性。方法１６例患者均经超声诊断为IVSD，经胸超声（TTE）大血管短轴观室间隔回声失落，且其分流束位于时钟１１点半～１点钟之间，测得VSD距主动脉右冠瓣０～２（平均１．４±１．１）mm，VSD直径为３．５～１２mm（平均６．４±４．６）mm，术中左心室造影测得VSD为４～１４（平均６．５±４．８）mm，均应用国产零边偏心型封堵器（腰部直径６～１４mm）。结果１６例IVSD患者１５例即刻封堵成功，成功率９３．８％，２例术后即刻左室造影及超声检查少量残余分流，术后１周超声检查无残余分流，无主动脉瓣及房室瓣的反流。１例缺损过大，应用１４mm封堵器不成功而放弃封堵治疗。术后１周心电监测无房室传导阻滞，术后１周至６个月复查经胸超声心动图，封堵器位置良好，无残余分流及主动脉瓣下反流，ECG无传导阻滞等特殊异常表现。结论应用国产零边偏心型封堵器介入治疗IVSD安全、疗效好，其远期疗效尚需长期临床观察。

参考文献/References:

［１］Kenny D，Tometzki A，Martin R．Significant aortic regurgitation associated with transcatheter closure of perimembranous ventricular septal defects with a deficient aortic rim［J］．Catheter Cardiovasc Interv，２００７，７０：４４５－４４９．
［２］Arora R，Trehan V，Kumar A，et al．Transcatheter closure of congenital ventricular septal defects：experience with various devices［J］．J Interv Cardiol，２００３，１６：８３－９１．
［３］Pinto RJ ，Dalvi BV，Sharma S．Transcatheter closure of perime－mbranous ventricular septal defects using amplatzer asymmetric ventricular septal defect occluder：preliminary experience with１８－month follow up［J］．Catheter Cardiovasc Interv，２００６，６８：１４５－１５２．
［４］孙万峰，张国培，崔婷，等．国产偏心室间隔缺损封堵器在嵴内型室间隔缺损封堵中的临床应用［J］．中华心血管病杂志，２００５，３３：２３２．
［５］赵仙先，秦永文，吴弘，等．嵴内型和肺动脉瓣下型室间隔缺损的经导管封堵治疗［J］．介入放射学杂志，２００４，１３：４８６．
［６］秦永文，丁仲如．室间隔缺损介入治疗概况［J］．介入放射学杂志，２００６，１５：１－８．

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备注/Memo

备注/Memo:
收稿日期：２００７－０９－２４
更新日期/Last Update: 2008-02-15