网络出版日期: 2014-12-30
基金资助
国家自然科学基金(30772349,81070134);上海市卫生局系统主要疾病联合攻关项目(2013ZYJB0016);上海市科委产学研医合作项目(12JC1406600)
Closing coronary artery fistula by Amplatzer Duct Occluder Ⅱ
Online published: 2014-12-30
Supported by
National Natural Science Foundation of China,30772349,81070134; Joint Health Research Program for Major Disease of Shanghai Municipal Health Bureau,2013ZYJB0016;Medical Cooperation Project of Science and Technology Commission of Shanghai Municipality,12JC1406600
目的 介绍使用新型动脉导管未闭封堵器(ADOⅡ)封堵冠状动脉瘘的经验,分析有效性和安全性。方法 收集2011年9月—2013年10月使用ADOⅡ经导管介入封堵冠状动脉瘘患者的临床资料,对手术及术后短期随访情况进行回顾性分析。结果 5例患儿平均年龄3.8岁。4例右冠状动脉—右心室瘘患儿中,3例选择4 mm×6 mm ADOⅡ,5F输送鞘;1例选择4 mm×4 mm ADOⅡ,4F输送鞘。1例左冠状动脉—右心室瘘患儿选择4 mm×4 mm ADOⅡ,5F输送鞘。术中造影及术后心脏超声均显示无残余分流,术后第2日心电图检查结果正常。平均随访16个月,均未发现异常。结论 ADOⅡ的主要优势是输送鞘尺寸小、柔软,容易到达瘘口并能够有效封堵冠状动脉瘘。
关键词: 新型动脉导管未闭封堵器; 冠状动脉瘘; 介入治疗; 儿童
王 鉴 , 陈 笋 , 孙 锟 , 等 . 新型动脉导管未闭封堵器封堵冠状动脉瘘[J]. 上海交通大学学报(医学版), 2014 , 34(12) : 1851 . DOI: 11.3969/j.issn.1674-8115.2014.12.029
Objective To introduce the experience of using Amplatzer Duct Occluder Ⅱ (ADO Ⅱ) for closing coronary artery fistula and to analyze its efficacy and safety. Methods Clinical data of patients whose coronary artery fistulas were closed by ADO Ⅱ between September 2011 and October 2013 were collected. The retrospective analysis was conducted according to operation and short-term follow-up outcomes. Results The average age of 5 patients was 3.8 years. Among 4 cases of right coronary-right ventricular fistulas, 3 cases used 4 mm×6 mm ADO Ⅱ and 5F delivery sheath, while the other case used 4 mm×4 mm ADO Ⅱ and 4F delivery sheath. One case of left coronary-right ventricular fistula used 4 mm×6 mm ADO Ⅱ and 5F delivery sheath. Intraoperative angiography and postoperative echocardiography showed no residual shunt and the results of electrocardiogram were normal the next day after operations. The average follow-up time was 16 months and no complications were found. Conclusion The delivery sheath of ADO Ⅱ is small and soft, which facilitates for approaching the fistula and efficiently closing the coronary artery fistula.
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