李世国,闫朝武,张为民,潘湘斌,金敬琳,宋会军,吕建华,万俊义,张戈军,徐仲英,胡海波,刘琼,徐亮,郑宏,蒋世良

• 1:国家心血管病中心北京协和医学院中国医学科学院阜外医院结构性心脏病中心
• 2:新疆维吾尔自治区人民医院心外科

摘要(Abstract)：

目的探讨COOK普通弹簧圈联合可解脱带纤维毛弹簧圈栓塞系统栓塞体肺侧支在复杂先天性心脏病(先心病)外科治疗中的应用价值及经验。方法回顾性分析2016年1月至2018年8月中国医学科学院阜外医院收治的15例复杂先心病合并体肺侧支患者的临床资料,评价COOK普通弹簧圈联合可解脱带纤维毛弹簧圈栓塞系统在体肺侧支栓塞术中的可行性、安全性和有效性。结果 15例患者中共发现33支体肺侧支血管,均栓塞成功,无血管损伤、弹簧圈移位及脱落等术中并发症发生。术中共用COOK普通弹簧圈34枚,直径3～8 mm,长度3～8 cm;共用Interlock可解脱弹簧圈28枚,其中15枚为钻石型,13枚为普通2D型,弹簧圈直径为2～6 mm,长度为2.3～8.0 cm。15例患者中10例属于杂交手术,即在杂交手术室行体肺侧支栓塞术后即刻行外科手术;5例因先心病外科术后发生灌注肺或左心功能不全需持续呼吸机辅助通气,不能拔除气管插管而行心血管造影及体肺侧支栓塞术,术后均顺利拔除气管插管。结论 COOK普通弹簧圈联合可解脱带纤维毛弹簧圈栓塞系统栓塞体肺侧支在复杂先心病治疗中疗效确切,可推广应用。

关键词(KeyWords)： 体肺侧支;栓塞;弹簧圈;先天性

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 李世国,闫朝武,张为民,潘湘斌,金敬琳,宋会军,吕建华,万俊义,张戈军,徐仲英,胡海波,刘琼,徐亮,郑宏,蒋世良

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