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|本期目录/Table of Contents|

应用Cook可控弹簧栓子封堵动脉导管未闭(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2000年第5期
页码:
382-384
栏目:
论著
出版日期:
2000-10-25

文章信息/Info

Title:
Transcatheter closure of patent ductus arteriosus with Cook controllable coils
作者:
张玉顺 贾国良 何争 栾荣华
第四军医大学西京医院心内科, 陕西西安710032
Author(s):
ZHANG Yu-shun JIA Guo-liang HE Zheng LUAN Rong-hua
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi'an Shaanxi 710032,China
关键词:
动脉导管未闭介入治疗弹簧栓子
Keywords:
patent ductus arteriosus interventional therapy coil
分类号:
R541.1;R654.2
DOI:
-
文献标识码:
A
摘要:
目的 应用Cook可控弹簧栓子封堵动脉导管未闭(PDA)并对其 疗效 进行评价。方法 全组共10例,年龄2~35(平均11.6)岁,体重8~64(平 均30.6)kg,PDA最窄处直径1.4~3.2(平均2.6)mm。经导管置入Cook可控弹簧栓子封堵PDA 。封堵后10 min行胸主动脉造影 评价疗效。术后3天、1月、6月及12月行超声心动图检查观察有无残余分流及PDA再通。结果 全组技术成功率为100%,术后10 min胸主动脉造影及术后3 d超声心动图未见残 余分流。 随访12个月,均未发现PDA再通及弹簧栓子移位。结论 应用Cook可控弹簧栓子 封堵小型PDA是一种安全、有效的非手术方法。
Abstract:
AIM To evaluate the treatment efficiency of tran scatheter closure of patent ductus arteriosus (PDA) using Cook controllable coils. METHODS Ten patie nts with PDA, with the age from 2 to 35 years (mean 11.6 years) and the weight from 8 to 64 kg (mean 30.6 kg), were occluded with Cook controllable coils.Th e narrowest diameter of PDA was from 1.4 to 3.2 mm (mean 2.6 mm).The aortographi es were made to evaluate the efficiency during 10 min after the procedure. E chocardiographies were performed in 3 d, 3 mo, 6 mo and 12 mo afte r the closure to find whether there was residual shunt and recanalization. RRESULTS The technique successful rate of the group was 100%. No residual shunt was fo und in aortographies during 10 min and echocardiographies in 3 d after pr ocedures. No coil embolization and PDA recanalization after the complete closure were found in following up for 12 mo. CONCLUSION Transcatheter closure of s mall PDA using Cook controllable coils was a safe and efficient nonsurgical method.

参考文献/References

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[2] Cambier PA, Kirby WC, Wortham DC, et al.Percutaneous closure of the sm a ll (<2.5 mm) patent ductus arteriosus using coil embolizatin[J]. Am J Cardio l,1992,69:815.

[3] Krichenki A, Benson LN, Burrows P, et al.Angiographic classification o f the isolated, persistently patent ductus and implantations for percutaneous cathete r occlusion[J]. Am J Cardiol, 1989,63:877.

[4] Porstmann W, Wierny L, Warnke H.Closure of the persistent ductus arteriosu s without thoracotomy[J]. Ger Med Mon, 1967,12:259.

[5] Rashkind WJ, Mullins CE, Hellenbrand WE, et al. Non-surgical closure of patent ductus arteriosus: clinical application of the Rashkind PDA occluder system[J]. Circulation, 1987,75:583.

[6] Rao PS, Sideris EB, Haddad J, et al. Transcatheter occlusion of patent ductus arteriosus with adjustable buttoned device: initial clinical experience [J]. Circulation, 1993,88:1119.

[7] Akagi T, Hashino K, Sugimura T, et al. Coil occlusion of patent ductu s arteriosus with detachable coils[J]. Am Heart J, 1997,134:538.

[8] Hijazi ZM, Geggel RL. Results of anterograde transcatheter closure of pate nt ductus arteriosus using single or multiple Gianturco coils[J]. Am J Cardi ol, 1994,74:925.

备注/Memo

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