应用Amplatzer封堵器封堵小儿房间隔缺损的并发症分析Complications related to transcatheter occlusion of atrial septal defect with Amplatzer septal occluder in children
王树水,李渝芬,张智伟,王慧深,钱明阳,李俊杰
摘要(Abstract):
目的 总结Amplatzer封堵器 (ASO)封堵小儿房间隔缺损 (ASD)后出现并发症的种类及其防治方法。方法 应用Amplatzer封堵器封堵的 2 11例ASD患儿中 ,9例在术中或术后随访中出现并发症。其中体循环系统空气栓塞 2例、肺空气栓塞 1例、心包填塞 1例、封堵器脱落 1例、房性早搏1例、测量球囊碎片残留体内 1例、封堵器部分移位 1例、二尖瓣穿孔并返流 1例。分别给予内科、外科积极治疗及随诊观察等处理。结果 冠状动脉气栓及早搏病例自行缓解。封堵器部分移位及二尖瓣穿孔病例仍在随访观察中 ,其余病例均经治疗痊愈。结论 空气栓塞是应用ASO治疗时较易发生的并发症 ,且其发生多数与手术操作有关。并发症一旦发生大多需采取包括外科手术在内的积极处理。加强对ASO治疗病例的随访工作非常重要。
关键词(KeyWords): 房间隔缺损;Amplatzer封堵器;并发症
基金项目(Foundation):
作者(Author): 王树水,李渝芬,张智伟,王慧深,钱明阳,李俊杰
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