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应用Amplatzer封堵器治疗房间隔缺损(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2000年第5期
页码:
379-381
栏目:
论著
出版日期:
2000-10-25

文章信息/Info

Title:
Transcatheter closure of secundum atrial septal defects using Amplatzer occluder device
作者:
张玉顺;  贾国良;  何争;  栾荣华;  张军;  王晓敏
第四军医大学西京医院心血管内科, 陕西西安710033
Author(s):
ZHANG Yu-shun;  JIA Guo-liang;  HE Zheng;  LUAN Rong-hua;  ZHANG Jun;  WANG Xiao-min
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi'an Shaanxi 710032,China
关键词:
房间隔缺损;  介入治疗
Keywords:
atrial septal defects;  transcatheter closure
分类号:
R541.1;R654.2
DOI:
-
文献标识码:
A
摘要:
目的 应用Amplatzer 封堵器治疗继发孔型房间隔缺损并对其疗效进行初步评价。方法 全组共6 例, 年龄38±13 岁(20～ 55 岁)。在透视及食管超声心动图监视下经导管置入Amplatzer 封堵器封堵房间隔缺损。术后即时行食管超声心动图, 术后24 h、1 月、3 月分别行经胸超声心动图评价治疗效果。结果 全组疗效均佳, 未见残余分流。结论 应用Amp latzer 封堵器治疗继发孔型房间隔缺损是有效的非手术方法, 操作简便, 成功率高, 近期疗效可靠。
Abstract:
AIM To evaluate the treatment efficiency and immediate resu lts of transcather closure of secundum atrial septal defect (ASD) using Amplatze r occluder device. METHODS There were 6 patients.The mean age w as 38±13 years (ranging from 20 to 55 years). Each ASD was occluded using Ampl atzer occluder device through the percutaneous procedure.The closure proccdure w as guided by fluoroscopy and transesophageal echocardiography. Transesophageal e chocardiograms were performed immediately and transthoracic echocardiography was done 24 h, 1 mo and 3 mo after the procedure to evaluate the efficie ncy. RESULTS The treatment efficiency of 6 patients was very well.No residual shunt was found in these patients immediately after the procedures. CONCLUSION Trans catheter closure of secundum ASD using Amplatzer occluder device was an efficien t nonsurgical method. It had a high successful rate of technique and satisfied i mmediate and short term results.

参考文献/References

［1］ Sideris EB, Sideris SE, Thanpoulos BD, et al. Transvenous artial septal defect occlusion by the buttoned device［J］. Am J Cardiol, 1990,66:1524.

［2］ Das GS, Voss G, Jarvis G, et al.Experimental atrial septal defect clos ure with a new, transcatheter, self-centering device［J］. Circulation, 199 3,88:1754.

［3］ Hausdorf G, Schneider M, Franzbach B, et al. Transcatheter closure of secundu m atrial septal defects with the atrial septal defect occlusion system:initial e xperience in children［J］. Heart, 1996,75:83.

［4］ Rao PS, Sedris EB, Hausdorf G, et al.International experience with sec undum atrial septal defect occlusion by the buttoned device［J］. Am Heart J, 1994 ,128:1022.

［5］ Sharafuddin MJA, Gu XP, Ttus JL, et al. Transvenous closure of secumdu m atria l septal defects: preliminary results with a new self-expanding nitinol prothes is in a swine model［J］. Circulation, 1997,95:2162.

［6］ Masura J, Gavora P, Formanek A, et al.Transcatheter closure of secundu m atrial septal defects using the new self-centering Amplatzer septal occluder: initial human experience［J］. Cather Cardiovasc Diagn, 1997,42:388.

备注/Memo

备注/Memo:
收稿日期：2000-01-12.
更新日期/Last Update: 2000-10-25