陆阳,李松华,单兴华,许旭东,郭志福,赵仙先

• 1:中国人民解放军海军军医大学第一附属医院心血管内科
• 2:上海中医药大学附属第七人民医院心内科

摘要(Abstract)：

目的 探讨合并巨大球样动脉瘤的冠状动脉瘘经导管应用弹簧圈封堵的安全性及有效性。方法 连续入选中国人民解放军海军军医大学第一附属医院心血管内科自2011年3月至2022年3月接受经导管介入治疗的冠状动脉瘘合并巨大球样动脉瘤形成患者11例。收集全部患者临床资料、介入治疗过程、即刻手术结果及住院期间不良事件，对其安全性、有效性进行分析。结果11例患者全部成功实施了弹簧圈封堵治疗，其中2例患者（病例2、病例5）首次术后残余中-重度分流，均择期手术再次置入弹簧圈（病例2术后1年复查造影后二次介入治疗，病例5术后7个月复查造影后二次介入治疗），分流量均显著减少（术后无残余分流）。平均置入弹簧圈数量3.4枚。弹簧圈型号EV3 10例（10/11）,Interlock 3例（3/11）,COOK 1例（1/11）。随访时间6个月至11年，除1例患者（病例4）因非心原性死亡外，其余患者冠状动脉CTA或冠状动脉造影提示分流量显著减少或消失。结论 经导管应用弹簧圈封堵合并巨大球样动脉瘤的冠状动脉瘘安全可行，中远期效果良好。

关键词(KeyWords)： 冠状动脉瘘;介入治疗;弹簧圈

Abstract:

Keywords:

基金项目(Foundation): 中医专科品牌建设倍增计划项目（PDZY-2021-0310）

作者(Author): 陆阳,李松华,单兴华,许旭东,郭志福,赵仙先

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