经导管对七例儿童先天性异常血管的介入治疗  

Transcatheter closure of congenital vascular malformations with cook coils and aGA amplatzer duct occluder in children

作　　者：区曦[1] 张智伟[1] 钱明阳[1] 王慧深[1] 李渝芬[1] 王树水[1] 谢育梅[1] 

机构地区：[1]广东省人民医院心血管病研究所心儿科,510100

出　　处：《中国介入心脏病学杂志》2004年第3期160-162,共3页Chinese Journal of Interventional Cardiology

摘　　要：目的　探讨经导管介入治疗冠状动脉瘘、先天性心脏病侧支血管、主 肺动脉间隔缺损的方法及治疗原则。方法　应用Cook公司弹簧圈堵闭 4例冠状动脉瘘、1例法乐氏四联症的侧支血管 ,应用AGA公司的Amplatzer动脉导管未闭堵闭器堵闭冠状动脉瘘 1例及主 肺动脉间隔缺损 1例。7例小儿平均年龄 8 5岁。结果　 7例均成功堵闭 ,术后随访 1个月～ 5年 ,无残余分流及其他并发症。结论　经导管对先天性异常血管的介入治疗疗效良好 ,但应严格掌握手术适应症 ,控制曝光时间在 6 0min内 ,减少手术并发症 ,提高手术成功率。Objective To explore the method and therapeutic principle of transcatheter closure of coronary artery fistula, aortopulmonary collaterals and aortopulmonary window. Methods Interventional occlusion of 4 cases of coronary artery fistulas and 1 case of aortopulmonary collaterals with Cook coils, 1 case of coronary artery fistulas and 1 case of aortopulmonary window with AGA Amplatzer duct occluder. The mean age of 7 children were 8.5 years. Results Transcatheter closure of 7 cases of vascular malformations were successful. During the follow-up period of 1 month to 5 years, no residual shunt and other complications appeared. Conclusion The curative effect of transcatheter closure of vascular malformations was good. But for the occlusions′ success and prevention from complications occurrence, the indications of closure should be obeyed, the time of X-ray exposure should be less than 60 minutes.

关 键 词：介入治疗 儿童 先天性异常血管 介入治疗 主-肺动脉间隔缺损 冠状动脉瘘 并发症 

分 类 号：R543[医药卫生—心血管疾病] R815[医药卫生—内科学]