摘要(Abstract)：

<正> purpose:To sum up the experience and appraise the efficacy oftrascatheter occlosion congenital ventricular sepal defects(VSD)usingbuttoned device from June 1994 to Jul 1998.Method:24 patients with VSD had treated by catheter buttoned device.Of these,15are male,9 are femle,with a mean age of 26 years(range 16-48).Ventricular septalgap size was 3-11(mean 6)mm.Befoer gap were occlued,left ventriculogrphy must bedo to find out the size of defects and the distance between gap from aorta-valve.Results:Among 24 cases,20 cases had successful treated using buttoned deviceand 4 cases fail account of more small devisce.3 cases had a slight shunt and 6 caseshad bundle branck block,3 cases aortic regurgitation sligthtly after catheter operation.No deathoccured,there was any serious complication.18 cases were followed up for3 to 6 months,3 of 6 patients who had a BBB was normalized while aorticregurgitation in 3 cases did not imptove or aggrate.Conclusion:Traseatheter ceelusion VSD in sdult patients using buttoned devicein a better method of aimple,safe,less compliation.Some of abnormal pioturee orcomplications can be avoided by master indication,seles device suitable,skilledoperation.

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