[1]阚 通,郭 俊,陈 亮,等.经皮室间隔心肌化学消融术治疗老年梗阻性肥厚型心肌病临床疗效及安全性[J].介入放射学杂志,2015,(11):946-949.
 KAN Tong,GUO Jun,CHEN Liang,et al.Percutaneous transluminal septal myocardial chemical ablation for the treatment of hypertrophic obstructive cardiomyopathy in aged patients: its clinical efficacy and safety[J].journal interventional radiology,2015,(11):946-949.
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经皮室间隔心肌化学消融术治疗老年梗阻性肥厚型心肌病临床疗效及安全性 ()

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

卷:
期数:
2015年11期
页码:
946-949
栏目:
心脏介入
出版日期:
2015-11-25

文章信息/Info

Title:
Percutaneous transluminal septal myocardial chemical ablation for the treatment of hypertrophic obstructive cardiomyopathy in aged patients: its clinical efficacy and safety
作者:
阚 通 郭 俊 陈 亮 崔 玲 储国俊 章 伟 赵仙先 秦永文
Author(s):
KAN Tong GUO Jun CHEN Liang CUI Ling CHU Guo- jun ZHANG Wei ZHAO Xian- xian QIN Yong- wen
Department of Cardiology, Affiliated Changhai Hospital, Second Military Medical University, Shanghai 200433, China
关键词:
【关键词】 梗阻性肥厚型心肌病 经皮室间隔心肌化学消融术 老年
文献标志码:
A
摘要:
【摘要】 目的 探讨经皮室间隔心肌化学消融术(PTSMA)治疗梗阻性肥厚型心肌病(HOCM)患者的临床疗效及安全性。方法 选择2010年1月至2014年12月在第二军医大学附属长海医院接受PTSMA术治疗的HOCM患者共68例,分为老年患者组(观察组,n=30)和非老年患者组(对照组,n=38)。对两组患者临床资料、血流动力学参数及术后并发症发生情况进行分析。结果 观察组患者术后有创左心室流出道压差(LVOTPG)值(22.57±20.41) mmHg与术前(90.43±37.62) mmHg相比明显下降(P<0.001),对照组患者术后有创LVOTPG值(21.34±22.20) mmHg与术前(84.82±34.59) mmHg相比明显下降(P<0.001),两组患者术前术后有创LVOTPG变化值(67.87±39.97) mmHg对63.47±31.62) mmHg差异无明显统计学意义(P=0.614)。观察组和对照组患者术后总体并发症发生率(36.67%对 26.32%)差异无统计学意义(P=0.359),严重并发症(完全性房室传导阻滞、急性左心功能衰竭)发生率(13.33%对0%,P=0.072)差异无统计学意义(P=0.072)。结论 PTSMA术治疗老年HOCM患者是安全有效的。

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备注/Memo

备注/Memo:
(收稿日期:2015-05-25)
(本文编辑:边 佶)
更新日期/Last Update: 2015-11-24