[1]王建铭,王琦光,朱鲜阳,等.ADOⅡ封堵器治疗各类室间隔缺损疗效分析和远期随访结果[J].介入放射学杂志,2022,31(04):333-338.
　WANG Jianming,WANG Qiguang,ZHU Xianyang,et al.Transcatheter closure by using Amplatzer duct occluder Ⅱ for various types of ventricular septal defects： efficacy analysis and long-term follow-up results[J].journal interventional radiology,2022,31(04):333-338.
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ADOⅡ封堵器治疗各类室间隔缺损疗效分析和远期随访结果()

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

卷:
31
期数:
2022年04
页码:
333-338
栏目:
心脏介入
出版日期:
2022-06-15

文章信息/Info

Title:
Transcatheter closure by using Amplatzer duct occluder Ⅱ for various types of ventricular septal defects： efficacy analysis and long-term follow-up results
作者:
王建铭;  王琦光;  朱鲜阳;  张端珍;  孟立立;  庚靖淞;  赵 明;  肖家旺
Author(s):
WANG Jianming;  WANG Qiguang;  ZHU Xianyang;  ZHANG Duanzhen;  MENG Lili;  GENG Jingsong;  ZHAO Ming;  XIAO Jiawang.
Department of Congenital Heart Disease， General Hospital of Northern Theater Command， Shenyang， Liaoning Province 110016， China
关键词:
【关键词】 室间隔缺损;  导管插入术;  心间隔封堵装置
文献标志码:
A
摘要:
【摘要】 目的 观察应用第二代Amplatzer动脉导管未闭封堵器ADOⅡ治疗各类室间隔缺损（VSD）的安全性、有效性和远期随访结果。方法 根据纳入标准筛选2011年1月至2019年6月北部战区总医院采用ADOⅡ封堵器封堵治疗的VSD患者。采用心电图和经胸壁超声心动图（TTE）评价术后即刻、1 d，术后1、3、6、12个月及每年随访的封堵效果和并发症发生情况。结果 共入选93例VSD患者，其中膜周部室间隔缺损（pmVSD）81例，嵴内型VSD 4例，VSD外科修补术后残余瘘7例，VSD封堵术后残余瘘1例。93例患者VSD封堵术均获成功。造影下缺损出口大小为（0.3±0.1） mm。1例（1.1%）患者术后1 d出现脑血管意外，转神经专科治疗。中位随访时间49个月（12～107个月），未发生感染性心内膜炎、完全房室传导阻滞（CAVB）和死亡并发症。术后轻度残余分流发生率为16.1%（15/93），第12个月随访时已降至3.2%（3/93）。心脏传导阻滞发生率为6.5%（6/93），其中1例pmVSD患儿随访28个月仍有间歇完全左束支传导阻滞。术后新发三尖瓣轻度反流2例，随访期反流程度无变化，未见新发主动脉瓣反流。结论 经严格筛选的pmVSD、嵴内型VSD、VSD外科修补/介入封堵术后残余瘘患者接受ADOⅡ封堵器封堵治疗安全有效，远期随访结果良好。

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备注/Memo

备注/Memo:
（收稿日期：2021- 01- 01）
（本文编辑：边 佶）
更新日期/Last Update: 2022-05-11