对称型室间隔封堵器在先天性膜周部室间隔缺损介入治疗的应用Transcatheter closure of perimembranous ventricular septal defect with symmetric ventricular septal occluder
杨荣,孔祥清,盛燕辉,曹克将,许迪,周蕾,邓军,钱岭梅,雍永宏,陈莉,陆凤翔
摘要(Abstract)：
目的探讨对称型封堵器(SVSO)介入治疗膜周部室间隔缺损(PMVSD)的临床疗效。方法应用SVSO介入治疗63例PMVSD患者。结果手术技术成功率93.0%(58/63)。PMVSD直径5.1±1.9mm,PMVSD距主动脉瓣2.7±1.0mm,SVSO直径7.2±2.1mm。即刻封闭率94.8%。心律失常发生率23.8%(15/63例),心肌损伤2例,封堵器脱落1例,术后新发生的主动脉瓣关闭不全1例,右心室流出道梗阻1例。平均随访7.4±2.7个月,无残余分流、封堵器移位或破损及感染性心内膜炎等发生。结论应用SVSO介入治疗PMVSD疗效好、安全性高,但要高度重视其可能发生的并发症,尤其是要做好心律失常的防治。
关键词(KeyWords)： 室间隔缺损;心脏导管插入术;对称型室间隔封堵器
基金项目(Foundation):
作者(Author): 杨荣,孔祥清,盛燕辉,曹克将,许迪,周蕾,邓军,钱岭梅,雍永宏,陈莉,陆凤翔
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