房间隔缺损经导管介入封堵术发生房室传导阻滞的分析  

Analysis of atrioventricular block happened in the transcatheter occlusion of atrial septal defect.

作　　者：李寰[1] 张玉顺[1] 王海昌[1] 刘兵[1] 魏晓梅[1] 陈兰芳[1] 代政学[1] 王晓燕[1] 

机构地区：[1]第四军医大学西京医院心内科,陕西西安710032

出　　处：《心脏杂志》2005年第3期268-269,272,共3页Chinese Heart Journal

摘　　要：目的:分析房间隔缺损(ASD)经导管介入封堵术发生房室传导阻滞(AVB)的情况。方法:521(男189,女332)例,年龄1.0～65(27±19)岁住进我科行ASD封堵术的患者,对封堵术后发生AVB的患者进行分析。结果:13(男5,女8)例(2.5%)封堵术后发生AVB,年龄4～44(23±12)岁。其中2例在发生AVB后撤出封堵器,其余11例均成功植入封堵器。3例为Ⅰ°AVB,4例Ⅱ°ⅠAVB,4例Ⅱ°ⅡAVB,2例Ⅲ°AVB。7例植入的封堵器在38mm以上;3例4～8岁幼儿,植入的封堵器在22～28mm;1例为15岁青少年,所植入封堵器为34mm;另2例为成人,植入的封堵器分别为30mm和34mm。所有患者AVB均恢复正常。结论:ASD介入封堵术有发生AVB的可能,AVB多见于植入大型号封堵器的患者,多数AVB是能够恢复的。AIM:To analyze the information of atrioventricular block (AVB) happened in the transcatheter occlusion of atrial septal defect (ASD). METHODS: 521 (male 189, female 332) ASD patients, aged from 1 to 65 (average, 27±19, were underwent transcatheter occlusion of ASD in our department. Those happened AVB in the occlusion procedure were investigated. RESULTS: 13 (male 5, female 8) patients, aged from 4 to 44 (average, 23±12 , happened AVB after ASD occlusion. In 2 cases occludes had to be removed after AVB happened, while in the rest cases occluders were successfully implanted. First-degree AVB, second-wenckebach, second-degree AVB and third-degree AVB were seen in 3, 4, 4 and 2 cases, respectively. 7 cases were implanted with more than size 38 mm occluders. 3 child cases, aged from 4 to 8, were implanted occluders sized from 22 to 28 mm. One 15 year-old patient, was given 34 mm occluder. Another 2 adult patients were implanted with 30 and 34 mm occluder, respectively. All those who happened AVB in the occlusion of ASD were recovered. CONCLUSION: Transcathether occlusion of ASD has a likelihood of happening AVB. AVB are mostly happened in implanting bigger size of occluder. Most of AVB are reversible.

关 键 词：房间隔缺损 介入治疗 房室传导阻滞 

分 类 号：R541.1[医药卫生—心血管疾病] R541.76[医药卫生—内科学]