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|本期目录/Table of Contents|

房间隔缺损经导管介入封堵术发生房室传导阻滞的分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2005年第3期
页码:
268-269，272
栏目:
介入治疗
出版日期:
2005-05-05

文章信息/Info

Title:
Analysis of atrioventricular block happened in the transcatheter occlusion of atrial septal defect.
作者:
李寰; 张玉顺; 王海昌; 刘兵; 魏晓梅; 陈兰芳; 代政学; 王晓燕
第四军医大学西京医院心内科，陕西 西安 710032
Author(s):
LI Huan;  ZHANG Yushun;  WANG Haichang;  LIU Bing;  WEI Xiaomei;  CHEN Lanfang;  DAI Zhengxue;  WANG Xiaoyan
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; 房室传导阻滞
Keywords:
atrial septal defect;  inerventional therapy;  atrioventricular block
分类号:
R541.1； R541.76
DOI:
-
文献标识码:
A
摘要:
目的 分析房间隔缺损（ASD）经导管介入封堵术发生房室传导阻滞（AVB）的情况。方法 521（男189，女332）例，年龄1.0~65(27±19)岁住进我科行ASD封堵术的患者，对封堵术后发生AVB的患者进行分析。结果 13（男5，女8）例（2.5%）封堵术后发生AVB，年龄4~44（23±12）岁。其中2例在发生AVB后撤出封堵器，其余11例均成功植入封堵器。3例为Ⅰ°AVB，4例Ⅱ°ⅠAVB，4例Ⅱ°ⅡAVB，2例Ⅲ°AVB。7例植入的封堵器在38 mm以上；3例4~8岁幼儿，植入的封堵器在22~28 mm；1例为15岁青少年，所植入封堵器为34 mm；另2例为成人，植入的封堵器分别为30 mm和34 mm。所有患者AVB均恢复正常。结论 ASD介入封堵术有发生AVB的可能，AVB多见于植入大型号封堵器的患者，多数AVB是能够恢复的。
Abstract:
AIM To analyze the information of atrioventricular block (AVB) happened in the transcatheter occlusion of atrial septal defect (ASD). METHODS 521 (male 189, female 332) ASD patients, aged from 1 to 65 (average, 27±19), were underwent transcatheter occlusion of ASD in our department. Those happened AVB in the occlusion procedure were investigated. RESULTS 13 (male 5, female 8) patients, aged from 4 to 44 (average, 23±12 ), happened AVB after ASD occlusion. In 2 cases occludes had to be removed after AVB happened, while in the rest cases occluders were successfully implanted. Firstdegree AVB, secondwenckebach, seconddegree AVB and thirddegree AVB were seen in 3, 4, 4 and 2 cases, respectively. 7 cases were implanted with more than size 38 mm occluders. 3 child cases, aged from 4 to 8, were implanted occluders sized from 22 to 28 mm. One 15 yearold patient, was given 34 mm occluder. Another 2 adult patients were implanted with 30 and 34 mm occluder, respectively. All those who happened AVB in the occlusion of ASD were recovered. CONCLUSION Transcathether occlusion of ASD has a likelihood of happening AVB. AVB are mostly happened in implanting bigger size of occluder. Most of AVB are reversible.

参考文献/References

［1］ Fisher G, Kramer HH, Stieh J, et al. Transcatheter closure of secundum atrial septal defects with new selfcentering Amplatzer Septal Occluder［J］. Eur Heart J, 1999,20(7):541-549.

［2］ Berger F, Ewert P, Abdulkhaliq H, et al. Percutaneous closure of large atrial septal defects with the Amplatzer septal occluder: Technical overkill or recommendable treatment？［J］. J Interven Cardiol,2001,14(1):63-67.

［3］ 张玉顺，贾国良，何争，等. 应用Amplatzer封堵器治疗房间隔缺损［J］.心脏杂志,2000，12:379-381.

［4］ Hill SL, Berul CI, Patel HT, et al. Early ECG abnormalities associated with transcatheter closureof atrial septal defects using the Amplatzer septal occluder［J］. J Interv Card Electrophysiol， 2000，4:469-474.

［5］ Suda K, Raboisson MJ, Piette E, et al. Reversible atrioventricular block associated with closure of atrial septal defects using the Amplatzer device［J］. J Am Coll Cardiol, 2004,43:1677-1682

备注/Memo

备注/Memo:
收稿日期：2004-12-30.
更新日期/Last Update: 2010-01-05