[1]赵鹏军,高 伟,余志庆,等.多孔型房间隔缺损封堵器封堵小儿多孔型房间隔缺损[J].介入放射学杂志,2012,(10):806-809.
　ZHAO Peng- jun,GAO Wei,YU Zhi- qing,et al. The closure of fenestrated atrial septal defects by using multi?蛳 fenestrated septal occluder in children[J].journal interventional radiology,2012,(10):806-809.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年10期
页码:
806-809
栏目:
心脏介入
出版日期:
2012-10-29

文章信息/Info

Title:
 The closure of fenestrated atrial septal defects by using multi?蛳 fenestrated septal occluder in children
作者:
 赵鹏军;  高 伟;  余志庆;  刘廷亮;  黄美蓉;  李 奋;  傅立军;  郭 颖
Author(s):
 ZHAO Peng- jun;  GAO Wei;  YU Zhi- qing;  LIU Ting-liang;  HUANG Mei-rong;  LI Fen;  FU Li- jun;  GUO Ying.
 Department of Cardiology， Affiliated Shanghai Children’s Medical Centre， School of Medicine， Shanghai Jiaotong University， Shanghai 200127， China
关键词:
 ; 【关键词】 多发性房间隔缺损;  多孔型房间隔缺损封堵器;  并发症;  儿童
文献标志码:
A
摘要:
 【摘要】 目的 评估新型多孔型房间隔缺损封堵器治疗小儿多发性房间隔缺损的疗效。方法 2011年10月至2012年2月收治多发性房间隔缺损患儿3例，女1例，男2例。术前完善常规检查，根据超声和心导管检查结果先选择合适球囊和封堵器进行球囊扩张和缺损封堵，术后3 d出院，出院后予阿司匹林（每天3 ～ 5 mg/kg）口服。结果 第1例心脏超声示房间隔缺损（Ⅱ），存在3个分流口，前两者相距5.4 mm，后两者相距3.6 mm，中间孔距主动脉瓣 13.2 mm，距左房室瓣10.3 mm，房间隔长约28 mm，选择25 mm Cribriform封堵。第2例心脏超声示有2个分流口，两者相距3 mm，房间隔长度为35 mm，术中选取25 mm Cribriform封堵器。第3例心脏超声示房间隔缺损（多发），术中选取30 mm Cribriform封堵。所有封堵器释放后位置好，心脏超声显示无残余分流和瓣膜反流。结论 Cribriform可应用于多发性房间隔缺损的封堵，疗效可靠，并发症少，但需注意术后抗凝治疗。

参考文献/References:

 ［1］ Bramlet MT， Hoyer MH. Single pediatric center experience with multiple device implantation for complex secundum atrial septal defects［J］. Catheter Cardiovasc Interv， 2008， 72： 531 ?蛳 537.
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［7］ Carano N， Hagler DJ， Agnetti A， et al. Device closure of fenestrated atrial septal defects： use of a single Amplatz atrial septal occluder after balloon atrial septostomy to create a single defect［J］. Catheter Cardiovasc Interv， 2001， 52： 203 ?蛳 207.
［8］ Pedra CA， Fontes ?蛳 Pedra SR， Esteves CA， et al． Multiple atrial septal defects and patent ductus arteriosus： successful outcome using two Amplatzer septal occluders and Gianturco coils ［J］. Cathet Cardiovasc Diagn， 1998， 45： 257 ?蛳 259．
［9］ Bramlet MT， Hoyer MH. Single pediatric center experience with multiple device implantation for complex secundum atrial septal defects［J］. Catheter Cardiovasc Interv， 2008， 72： 531 ?蛳 537.
［10］ Numan M， El Sisi A， Tofeig M， et al. Cribriform amplatzer device closure of fenestrated atrial septal defects： feasibility and technical aspects［J］. Pediatr Cardiol， 2008， 29： 530 ?蛳 535. 

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备注/Memo

备注/Memo:
 （收稿日期：2012-02-02）
更新日期/Last Update: