[1]张毅刚,李世杰,刘茹,等.室间隔缺损介入封堵失败病例经胸超声心动图回顾性分析[J].介入放射学杂志,2008,(12):850-852.
 ZHANG Yigang,LI Shijie,LIU Ru,et al.Retrospective analysis of transthoracic echocardiography about the failure of transcather closure of ventricular septal defect[J].journal interventional radiology,2008,(12):850-852.
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室间隔缺损介入封堵失败病例经胸超声心动图回顾性分析()

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

卷:
期数:
2008年12期
页码:
850-852
栏目:
心脏介入
出版日期:
2008-12-15

文章信息/Info

Title:
Retrospective analysis of transthoracic echocardiography about the failure of transcather closure of ventricular septal defect
作者:
张毅刚李世杰刘茹
作者单位:22101l江苏省徐州巾中心医院心内科
Author(s):
ZHANG Yi-gangLI Shi-jieLIU RuLI Zhi-hongFU Qiang.
Department of Cardiology,Xuzhou Municipal Central Hospital,Xuzhou221011,China
关键词:
室间隔缺损介入封堵超声心动图回顾性分析
分类号:
R541.1
文献标志码:
A
摘要:
目的对室间隔缺损(VSD)介入封堵失败病例术后行经胸超声心动图复查,以提高经胸超声心动图术前应用价值,总结失败原因。方法选取15例VSD封堵不成功病例。在分析左室造影主要观察指标后,用Philips5500型彩色多普勒诊断仪在不同超声切面于术后重复测量VSD大小、观察缺损口形态与周围结构的毗邻关系以及各瓣膜的反流情况。结果①膜周部VSD10例:膜部瘤8例,其中≥2个出口6例,膜部瘤基底部宽度8~18(10±2)mm,瘤深度3~10(6±2)mm;距主动脉瓣0~6(2±1)mm,距右房室瓣2~5(2±1)mm;均伴右房室瓣少量反流;主动脉瓣反流5例,为微量至少量。无膜部瘤2例。②嵴内型VSD5例:大小6~10(7±1)mm,距肺动脉瓣2~3(1±0.8)mm,距主动脉瓣1~2(1±0.6)mm;主动脉瓣少量反流4例;右房室瓣微量反流5例;主动脉瓣脱垂4例;5例均成五彩花样分流。结论超声心动图受影响因素较多,对缺损的定位和大小的测量,应选择多切面、多方向的连续扫查法,以筛选VSD封堵术的适应证及合适封堵器大小,提高封堵成功率,保证VSD封堵术的远期疗效。

参考文献/References:

[1]Hijazi ZM,Hakim F,Haweleh AA,et al.Catheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder:Initial clinical experience[J].Catheter Cadi Inter,2002,56:508-515.
[2]孔祥清.先天性心脏病介入治疗[M].南京:江苏科学技术出版社,2003.
[3]李军,张军.经胸超声心动图对VSD封堵术的选择标准和方法学研究[J].中华超声医学杂志,2003,19:584.
[4]张军,李军.超声心动图在嵴内型VSD封堵中的应用[J].心脏杂志,2005,17:3.
[5]Bass JL,Kalra GS,Arora R,et al.Initial human experience with the Amplatzer perimembranous ventricular septal occluder device[J].Catheter Cardiovasc Interv,2003,58:238-245.
[6]Ho SY,Path FRC,Karen P,et al.Morphology of perime mbra-nous ventricular septal defects:implications for transcatheter device closure[J].J I nterven Cardiol,2004,17:99-107.
[7]Arora R,Trehan V,Kumar A,et al.Transcat heter closure of congenital vent ricularseptal defect s:experience with various devices[J].J Interv Cardiol,2003,16:83-87.
[8]秦永文.室间隔缺损介入治疗与影像学图解[M].上海:科学技术出版社,2006:143-200.

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备注/Memo

备注/Memo:
收稿日期:2008-07-28
更新日期/Last Update: 2008-12-15