[1]余志庆,赵鹏军,高 伟,等.切割球囊治疗儿童先天性心脏病术后肺动脉分支狭窄的临床评价[J].介入放射学杂志,2012,(08):621-624.
 YU Zhi- qing,ZHAO Peng- jun,GAO Wei,et al. Cutting balloon for the treatment of pulmonary branch stenosis remained after the surgery for congenital heart diseases in children: a clinical evaluation[J].journal interventional radiology,2012,(08):621-624.
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切割球囊治疗儿童先天性心脏病术后肺动脉分支狭窄的临床评价 ()

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

卷:
期数:
2012年08期
页码:
621-624
栏目:
心脏介入
出版日期:
2012-08-30

文章信息/Info

Title:
 Cutting balloon for the treatment of pulmonary branch stenosis remained after the surgery for congenital heart diseases in children: a clinical evaluation
作者:
 余志庆 赵鹏军 高 伟 黄美蓉 李 奋 刘廷亮 曹剑锋 孙爱敏
Author(s):
YU Zhi- qing ZHAO Peng- jun GAO Wei HUANG Mei- rong LI Fen LIU Ting-liang CAO Jian- feng SUN Ai- min.
 Department of Cardiology, Affiliated Shanghai Children’s Medical Centre, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
关键词:
 【关键词】 肺动脉分支狭窄 经皮球囊血管成形术 切割球囊 并发症
文献标志码:
A
摘要:
 【摘要】 目的 评价切割球囊(cutting balloon,CB)治疗儿童先天性心脏病(先心病)术后肺动脉分支狭窄的疗效和可行性。 方法 收治3例先心病术后肺动脉分支狭窄患儿,其中2例为男性,分别为法洛四联症(TOF)术后残存左肺动脉狭窄和肺动脉闭锁(PA)、室间隔缺损(VSD)术后残存右肺动脉狭窄。1例女性,为“PA、VSD、动脉导管未闭(PDA)”术后残存左肺动脉狭窄。完善术前检查后行心导管介入治疗,分别测狭窄段压差和血管内径,选择合适CB扩张,根据扩张效果决定是否应用高压球囊再扩张。 结果 TOF男性患儿和PA/VSD女性患儿先选择CB扩张后,予高压球囊再次扩张,血管内径由术前4.6 cm和4.2 cm分别增至5.8 cm和5 cm,压差由术前35 mmHg和12 mmHg分别降为19 mmHg和7 mmHg; PA/VSD男性患儿,应用CB扩张后,血管内径由术前4.8 cm变为5.6 cm,压差由术前12 mmHg降为6 mmHg。术中和术后均无肺水肿、肺出血等并发症发生。 结论 CB治疗先心病术后肺动脉分支狭窄安全、有效,并发症少。 

参考文献/References:

 

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[3] 中华医师协会心血管内科分会先心病工作委员会.常见先天性心脏病介入治疗中国专家共识, 四, 经皮球囊肺动脉瓣与主动脉瓣成形术[J]. 介入放射学杂志, 2011, 20: 253 ?蛳 260.

[4] 周爱卿, 李 奋, 朱 铭. 先天性心脏病心导管术[M]. 上海:上海科技出版社, 2009: 489 ?蛳 491.

[5] Suda K, Matsumura M, Hayashi H, et al. Comparison of effic?蛳acy of medium?蛳 sized cutting balloons versus standard balloons for dilation of peripheral pulmonary stenosis[J]. Am J Cardiol, 2006, 97: 1060 ?蛳 1063.

[6] Butera G, Carminati M, Pome G. Use of cutting?蛳 balloon angio?蛳plasty in a hybrid setting: a new application of the hybrid approach[J]. J Invasive Cardiol, 2008, 20: E327 ?蛳 E328.

[7] Lucas V. Failure of cutting balloon angioplasty to prevent restenosis in childhood pulmonary vein stenosis[J]. Catheter Cardiovasc Interv, 2006, 68: 767 ?蛳 768.

[8] Bergersen LJ, Perry SB, Lock JE. Effect of cutting balloon angioplasty on resistant pulmonary artery stenosis[J]. Am J Cardiol, 2003, 91: 185 ?蛳 189.

[9] Tomita H, Nakanishi T, Hamaoka K, et al. Stenting in congenital heart disease: medium?蛳 and long?蛳 term outcomes from the JPIC stent survey[J]. Circ J, 2010, 74: 1676 ?蛳 1683.

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[12] Carlson KM, Neish SR, Justino H, et al. Use of cutting balloon for palliative treatment in tetralogy of Fallot[J]. Catheter Cardiovasc Interv, 2005, 64: 507 ?蛳 512.

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备注/Memo

备注/Memo:
 

(收稿日期:2011-12-20)

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