房间隔缺损封堵器封堵巨大动脉导管未闭后发生机械性溶血二例
邢镇华,唐亮,胡信群
摘要(Abstract):
<正>动脉导管未闭(PDA)是一种常见的先天性心脏病,经导管封堵治疗已广泛应用于临床。Amplatzer封堵器可用于封堵各种类型PDA,效果佳、创伤小、安全性高。直径≥10 mm的巨大PDA术后易发生溶血、残余分流、封堵器脱落和封堵器脱位等严重并发症[1]。常规PDA封堵器最大直径为20 mm,若需更大直径的封堵器,多选择房间隔缺损封堵器(ASO)或肌部室间隔封堵器。中南大学湘雅二医院2011年
关键词(KeyWords): 动脉导管未闭;房间隔缺损封堵器;机械性溶血
基金项目(Foundation):
作者(Author): 邢镇华,唐亮,胡信群
参考文献(References):
- [1]刘洋,张刚成,尚小珂,等.动脉导管未闭1251例经导管介入治疗并发症分析.中国介入心脏病学杂志,2014,22:786-800.
- [2]张玉顺.常见先天性心脏病介入治疗中国专家共识三、动脉导管未闭的介入治疗.介入放射学杂志,2011,20:172-176.
- [3]Uzun O,Veldtman GR,Dickinson DF,et al.Haemolysis following implantation of duct occlusion coils.Heart,1999,81:160-161.
- [4]Jang GY,Son CS,Lee JW,et al.Complications after transcatheter closure of patent ductus arteriosus.J Korean Med Sci,2007,22:484-490.
- [5]杨向太,李国业,陆骊工,等.经导管封堵动脉导管未闭术后溶血(附6例分析).中国医学影像学杂志,2001,9:164-165.
- [6]Liang CD,Ko SF,Huang CF,et al.Immediate echocardiographic surveillance after transcatheter closure of a patent ductus arteriosus:a feasible method to assess residual shunt.Pediatr Neonatol,2010,51:52-56.
- [7]马宁,蒋世良,赵世华,等.动脉导管未闭封堵术后溶血(附3例报告及文献复习).中国医学影像技术,2003,19:211-212.
- [8]Eda K,Ohtsuka S,Seo Y,et al.Conservative treatment of hemolytic complication following coil embolization in two adult cases of patent ductus arteriosus.Jpn Circ J,2001,65:834-836.
- [9]李俊杰,李渝芬,张智伟,等.经导管Amplatzer封堵器治疗小儿动脉导管未闭的随访结果.中华儿科杂志,2005,43:608-611.
- [10]罗国华,孙寒松,许建屏,等.动脉导管未闭术后残余分流的外科治疗.中国心血管病研究杂志.2004,2:684-685.