[1]秦永文,赵仙先,吴弘,等.应用国产封堵器闭合室间隔缺损修补术后残余漏[J].介入放射学杂志,2007,(08):516.
　QIN Yong-wen,ZHAO Xian-xian,WU Hong,et al.Percutaneous closure of postoperative ventricular septal residual left-to-right shunt with the China made device[J].journal interventional radiology,2007,(08):516.
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应用国产封堵器闭合室间隔缺损修补术后残余漏()

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

卷:
期数:
2007年08期
页码:
516
栏目:
心脏介入
出版日期:
2007-08-15

文章信息/Info

Title:
Percutaneous closure of postoperative ventricular septal residual left-to-right shunt with the China made device
作者:
秦永文; 赵仙先; 吴弘; 等
２００４３３上海第二军医大学长海医院心内科
Author(s):
QIN Yong-wen; ZHAO Xian-xian; WU Hong; DING Ji-jun; CAO Jiang; ZHENG Xin．
Department of Cardiology，Changhai Hospital，Second Military Medical University，Shanghai２００４３３，China
关键词:
室间隔缺损; 残余分流; 封堵器; 镍钛合金
分类号:
R５４１.１
文献标志码:
A
摘要:
目的评价应用国产封堵器治疗室间隔缺损修补术后残余漏的可行性和疗效。方法１１例患者，经胸超声心动图测量室间隔缺损术后残余漏直径为３～９mm，平均（５．８２±２．０９）mm。经股静脉通过６～９F鞘管送入封堵器，在X线透视和超声引导下完成操作。结果左心室造影８例为膜部瘤型，３例为漏斗型。造影显示单出口６例，多出口５例，缺损口直径３～９mm，平均（６．０９±１．５８）mm。应用封堵器直径（８～１２）mm。１０例患者应用１个封堵器完全封堵。１例残余漏有４个漏口，应用２个封堵器后仍有少量残余分流。升主动脉造影均无主动脉瓣返流。１例术后第３天发生完全性房室传导阻滞，应用氢化可的松治疗２周后完全恢复。术中X线透视时间８～３０min，平均（１６．９１±４．２３）min。术后随访１个月～４年，１例残余分流仍存在。全部患者无血栓栓塞、溶血、感染性心内膜炎，无封堵器移位，无主动脉瓣反流等并发症。结论经导管封堵治疗室间隔缺损修补术后残余漏疗效可靠，操作安全。

参考文献/References:

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[2]董瞡,周兢,刘成霏,等.经胸超声心动图指导室间隔缺损介入治疗的临床价值[J].介入放射学杂志,2008,(08):564.
　DONG Jing,ZHOU Jin,LIU Chengfei,et al.The clinical evaluation of transthoracic echocardiography in guidance for interventional treatment of ventricular septal defect[J].journal interventional radiology,2008,(08):564.
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备注/Memo

备注/Memo:
收稿日期：２００７-０４-２４
更新日期/Last Update: 2007-08-15