房间隔缺损封堵器脱落及相关并发症原因分析Analysis of causes of occluder abscission of atrial septal defect
徐争鸣,郑宏,蒋世良,胡海波,赵世华,徐仲英,吕滨,张戈军,凌坚,吴文辉,张岩,兰天,金敬琳,李世国,徐丽丽,孙鑫,吕秀章,梁玉,王志民,王浩,孟宪强
摘要(Abstract):
目的探讨房间隔缺损介入治疗中导致封堵器脱落的重要影响因素,并对其常见并发症进行分析。方法回顾性分析阜外心血管病医院自2002年1月至2010年12月间行房间隔缺损封堵治疗术中10例封堵器脱落的病例资料。结果 10例封堵器脱落患者有3例经换用更大型号封堵器后获得成功,其余7例行外科手术取出封堵器并行缺损修补。结论术前超声心动图测量房间隔缺损直径及术中封堵器大小的选择在房间隔缺损封堵治疗中起着重要作用,而缺损边缘的情况则是封堵术成功与否的决定因素。
关键词(KeyWords): 房间隔缺损;导管插入术;手术后并发症
基金项目(Foundation):
作者(Author): 徐争鸣,郑宏,蒋世良,胡海波,赵世华,徐仲英,吕滨,张戈军,凌坚,吴文辉,张岩,兰天,金敬琳,李世国,徐丽丽,孙鑫,吕秀章,梁玉,王志民,王浩,孟宪强
参考文献(References):
- [1]Hoffmann JI,Kaplan S.The incidence of congenital heart disease.J Am Coll Cadiol.2002,39:1890-1900.
- [2]Butera G,Romagnoli E,Carminati M,et al.Treatment of isolated secundum atrial septal defects:impact of age and defect morphology in1013consecutive patients.Am Heart J,2008,156:706-712.
- [3]Marie Valente A,Rhodes JF.Current indications and contraindications for transcatheter atrial septal defect and patent foramen ovale device closure.Am Heart J,2007,153:81-84.
- [4]韩宏光,张南滨,汪曾炜,等.房间隔缺损介入治疗失败后外科手术治疗的回顾性分析.介入放射学杂志,2010,19:6-8.
- [5]刘延玲,吕秀章,朱振辉,等.综合超声心动图技术在继发孔型房间隔缺损封堵治疗中的应用研究.医学研究通讯,2004,33(9):18.
- [6]Latson LA,Jones TK,Jacobson J,et al.Analysis of factors relatedto successful transcatheter closure of secundum atrial septal defects using the HELEX septal occluder.Am Heart J,2006,151:1129.e7-e11.
- [7]Rastogi N,Smeeton NC,Qureshi SA,et al.Factors related to successful transcatheter closure of atrial septal defects using the Amplatzer septal occluder.Pediatr Cardiol,2009,30:888-892.
- [8]Qureshi AM,Latson LA.Recent advances in closure of atrial septal defects and patent foramen ovale.F1000Med Rep,2010,2.pii:8.
- [9]Giardini A,Donti A,Formigari R,et al.Determinants of cardiopulmonary functional improvement after transcatheter atrial septal defect closure in asymptomatic adults.J Am Coll Cardiol,2004,43:1886-1891.
- [10]Giardini A,Moore P,Brook M,et al.Effect of transcatheter atrial septal defect closure in children on left ventricular diastolic function.Am J Cardiol,2005,95:1255-1257.