经导管弹簧圈栓堵法治疗先天性冠状动脉瘘Transcatheter coil emblization of coronary artery fistula
赵迎新,史冬梅,张维君,周玉杰,刘宇杨
摘要(Abstract)：
目的 探讨经导管弹簧圈栓堵冠状动脉瘘的安全性和有效性。方法 总结我院 1999年 5月至 2 0 0 2年 12月 6例 38～ 70岁 (平均年龄 5 0 7岁 )的先天性冠状动脉瘘进行栓堵治疗的患者 ,其中冠状动脉瘘由左冠状动脉至肺动脉 2例、右冠状动脉至肺动脉 2例、右冠状动脉至右下肺静脉及双侧冠状动脉至肺动脉各 1例。结果 5例 (83 3% )栓堵后完全闭合 ;1例因瘘管迂曲 ,导管到位困难而放弃介入治疗。无手术死亡及并发症。 5例患者经体检和超声心动图随访 3～ 4 6个月 ,无残余瘘 ,无复发。结论 经导管弹簧圈栓堵先天性冠状动脉瘘不用开胸 ,病人易接受 ,安全、有效、方便 ,可作为治疗冠状动脉瘘的一种方法。
关键词(KeyWords)： 冠状动脉瘘;弹簧圈;栓堵
基金项目(Foundation):
作者(Author): 赵迎新,史冬梅,张维君,周玉杰,刘宇杨
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