Amplatzer封堵器栓塞肺血管瘘道畸形  

Embolization of the pulmonary vascular fistulae malformations with Amplatzer occluder

作　　者：杨剑[1] 黄连军[1] 蒋世良[1] 赵世华[1] 徐仲英[1] 张岩[1] 张戈军[1] 

机构地区：[1]中国医学科学院中国协和医科大学阜外医院心血管研究所放射科,北京100037

出　　处：《介入放射学杂志》2004年第3期236-238,共3页Journal of Interventional Radiology

摘　　要：目的　评价Amplatzer封堵器作为新型栓塞材料在治疗肺血管瘘道畸形的临床价值。方法　肺血管瘘道畸形 5例 ,包括肺动静脉瘘 4例与肺动脉左房瘘 1例 ,采用Amplatzer封堵器对供血动脉行经导管封堵治疗。结果　 5例栓塞均获得技术成功 ,未见封堵器脱落移位 ,局部右向左分流消失 ,股动脉血氧饱和度由术前 78.2 %上升至术后 94 .5 %。结论　Amplatzer封堵器用于肺血管瘘道畸形的经导管治疗安全可靠 。Objective To evaluate the immediate clinical value of embolization of the pulmonary vascular fistulae malformations with Amplatzer occluder as a new embolic material. Methods Five patients with the pulmonary vascular fistulae malformations, including four with the pulmonary arteriovenous fistula and one with the fistula from pulmonary artery to left atrium, accepted the transcatheter embolotherapy. Amplatzer occluder as a new embolic material had been used to occlude the feeding arteries in this procedure. Results Embolotherapy was successful in all five patients. No occluder detachment was detected. The local right to left shunt all disappeared. The mean femoral arterial oxygen saturation level was increased from 78.2% to 94.5%. Conclusion Transcatheter embolization of the pulmonary vascular fistulae malformations with Amplatzer occluder as a new embolic material is safe and reliable. The short term effect is satisfactory.

关 键 词：AMPLATZER封堵器 肺血管瘘 瘘道畸形 供血动脉 

分 类 号：R563.9[医药卫生—呼吸系统]