[1]秦永文,吴弘,赵仙先,等.膜部瘤型室间隔缺损的介入治疗[J].介入放射学杂志,2006,(01):6-9.
　QIN Yong-wen,WU Hong,ZHAO Xian-xian,et al.Transcatheter closure of aneurysmal perimembranous ventricular septal defects[J].journal interventional radiology,2006,(01):6-9.
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膜部瘤型室间隔缺损的介入治疗()

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

卷:
期数:
2006年01期
页码:
6-9
栏目:
心脏介入
出版日期:
2006-01-01

文章信息/Info

Title:
Transcatheter closure of aneurysmal perimembranous ventricular septal defects
作者:
秦永文;  吴弘;  赵仙先;  丁继军;  郑兴;  曹江
200433,上海第二军医大学长海医院心内科
Author(s):
QIN Yong-wen; WU Hong; ZHAO Xian-xian; et al
关键词:
室间隔缺损;  膜部瘤;  心导管插入术;  封堵器
分类号:
R654.2
摘要:
目的评价应用自行研制的细腰型室间隔缺损封堵器闭合膜部瘤型室间隔缺损的可行性、安全性和疗效.方法先心病膜部瘤型室间隔缺损患者41例,年龄2～60岁,平均(18±11)岁.术前超声测量室间隔缺损直径3～12 mm,平均(5.39±2.11)mm.应用7～10 F输送鞘管从右心系统送入细腰型封堵器.封堵后15 min重复左心室造影和经胸心脏超声波检查,观察封堵的即刻效果.术后连续心电监护7 d.出院前、术后1、6个月和1年定期复查心电图和心脏超声.结果41例患者均封堵成功.左心室造影测量室间隔缺损直径2.0～10.8mm，平均(5．04±l 71)mm。所用封堵器腰部直径为4一12mm．平均(7．27±2．30)mm。37例患者术后15州n重复左心审造影和经胸心脏超声检古显不无残余分流，4例示微量残余分流，1个月后复查经胸心脏超声，3例残余分流消失，1例仍存在微量残余分流。封堵器放置后出现完牵性右束支传导阻滞1例，左前分支阻滞1例，随访期间未恢复，并发一过性Ⅲ度房摩传导阻滞1例。术后心电监护示交界性心动过速1倒，1周后恢复。合并房间隔缺损1例，同期成功封堵。x线透视时间8～50min，平均(13.60±5．14)min，操作时间30—150min，平均(66 14±20．70)min。随访1—17个月，无感染性心I』=|膜炎、血栓栓寒和溶血等J{发症。结论用细腰型审间隔缺损封堵器治疗膜部瘤型窄间隔缺损疗效口J靠，操作简便，使用安全，弥补了以往封堵器在封堵膜部瘤型室间隔缺损方面的不足，该封堵器的长期疗效需进一步随访观察。

参考文献/References:

[1] 秦永文.赵仙先.李卫萍 ,等.应用自制封堵器经导管闭合膜部室间隔缺损 [J]  介入放射学杂志,2002,11:130
[2] 秦永文.赵仙先.吴弘 自制非对称型室间隔缺损封堵器的初步临床应用 [J] 介入放射学杂志,2004,13:101-103
[3] Hijazi ZM.Hakim F.Haweleh AA Catheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder:Initial
clinical experience[J] Catheter Cardiovasc Inter，2002,56:508-515

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备注/Memo

备注/Memo:
(收稿日期：2005-07-06)
更新日期/Last Update: 2010-11-19