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|本期目录/Table of Contents|

室间隔缺损封堵治疗前后胸部X线表现

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2009年第2期
页码:
261-263/266
栏目:
临床研究
出版日期:
2009-03-30

文章信息/Info

Title:
Chest radiographic appearance before and after transcatheter closure in patients with ventricular septal defect
作者:
陈金明; 姚睿荣; 任雨笙; 廖德宁; 钱建英; 陈懿; 吴宗贵
第二军医大学长征医院心内科，上海 200003
Author(s):
CHEN Jin-ming;  YAO Rui-rong;  REN Yu-sheng;  LIAO De-ning;  QIAN Jian-ying;  CHEN Yi;  WU Zong-gui
Department of Cardiology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
关键词:
室间隔缺损; 介入治疗; 封堵器; 胸部X线
Keywords:
ventricular septal defect;  interventional therapy;  occluder;  radiography
分类号:
R541.1
DOI:
-
文献标识码:
A
摘要:
目的 观察膜周部室间隔缺损（VSD）封堵术前后的胸部X线表现，总结封堵器在常规胸片上的影像特点。方法 分析资料完整的Amplatzer VSD双面伞封堵VSD患者33例术前及术后4～7 d内的胸部后前位及左侧位X线胸片。结果 大部分VSD患者封堵术后后前位胸片上封堵器位于第8～9椎体正中线的左侧，在形态上呈现1个点、2个点，偶可见1个点1个圈。侧位上封堵器均位于膈肌-脊柱交汇点与胸骨角连线的左前方，多呈2个点，部分呈“H”形。封堵术后短期内即出现肺部X线表现有不同程度的改善。结论 正确安置的VSD封堵器在胸片上具有一定的显影特征，常规胸片可以用来判断VSD介入治疗的疗效以及封堵器的位置和形态。
Abstract:
AIM To explore the chest radiographic appearance of perimembranous ventricular septal defect (VSD) before and after transcatheter closure with Amplatzer occluder and to summarize the radiographic characteristics of VSD occluder on chest radiography. METHODS Plain chest films in posterior-anterior view and left lateral view were studied in 33 patients before and 4-7 days after transcatheter closure. RESULTS After the procedure, most VSD occluders were located between T8 and T9, left of anterior midline on the posterior-anterior roentgenogram. The occluders presented one dot or two dots, occasionally one dot and one circle. On lateral chest radiographs, all occluders located the left anterior of the line between the diaphragm and spine crossing and the sternal angle. Most occluders presented two dots and some were like “H” shape. In most patients, the chest radiographic appearance improved to some extent after the procedure. CONCLUSION The ventricular septal defect occluders have a characteristic radiographic appearance when properly positioned. Plain chest radiographs can identify the effects of transcatheter closure as well as the location and shape of the occluders in patients with VSD.

参考文献/References

[1］ Fu YC, Bass J, Amin Z, et al. Transcatheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder: results of the U.S. phase I trial［J］. J Am Coll Cardiol, 2006, 47(2):319-325.

［2］ 秦永文，赵仙先，吴弘，等. 国产室间隔缺损封堵器的安全性和疗效评价［J］. 中国循环杂志， 2005， 20(1）:10-13.

［3］ Holzer R, de Giovanni J, Walsh KP, et al. Transcatheter closure of perimembranous ventricular septal defects using the Amplatzer membranous VSD occluder: immediate and midterm results of an international registry［J］. Catheter Cardiovasc Interv, 2006, 68(4):620-628.

［4］ Lee EY, Siegel MJ, Chu CM, et al. Amplatzer atrial septal defect occluder for pediatric patients: radiographic appearance［J］. Radiology, 2004, 233（2）: 471-476.

［5］丁茹，陈金明，廖德宁，等. Amplatzer双面伞房间隔缺损封堵术前后胸部X线表现［J］. 介入放射学杂志， 2006， 15（增刊）：69-71.

备注/Memo

备注/Memo:
收稿日期：2007-10-9.通讯作者：任雨笙，副主任医师，主要从事心血管疾病介入治疗研究Email：renyusheng@gmail.com 作者简介：陈金明，副主任医师，博士Email：drchenjm@yahoo.com.cn
更新日期/Last Update: 2009-04-16