冠状动脉瘘介入治疗的若干问题探讨  

Transcatheter closure of coronary artery fistula

作　　者：余志庆[1] 周爱卿[1] 高伟[1] 李奋[1] 

机构地区：[1]上海交通大学医学院附属新华医院,上海儿童医学中心,心内科,200127

出　　处：《介入放射学杂志》2006年第3期134-136,共3页Journal of Interventional Radiology

摘　　要：目的探讨冠状动脉瘘介入治疗的临床指征及方法。方法总结经导管介入治疗(介入组)冠状动脉瘘17例,其中应用Cook公司非可控弹簧圈11例,可控弹簧圈2例;Pfm可控弹簧圈1例,AGA公司Amplatzer Duct-Occluder 3例;外科手术(手术组)修补术26例。结果介入组除早期3例因所选弹簧圈太小,而且为非可控,导致术后弹簧圈移位,2例经导管术取出,1例行外科手术修补并取出弹簧圈,其余病例均获成功,平均随访3年。均无残余分流及其他并发症。手术组均获成功,无死亡病例。结论冠状动脉瘘经合理的治疗可取得良好的临床疗效,随着介入器材的不断更新与完善,经导管介入治疗冠状动脉瘘创伤小、住院时间短、临床疗效及安全性好,但必须严格掌握手术适应证。Objective To explore the indication and the methodology of transcatheter closure of coronary artery fistula. Methods Altogether 17 cases for intervention,included 13 using the Cook corp coil（2 detachable and another 11 un-detachable） ; 1 with the Pfm corp detachable coil; 3 with the AGA corp Amplatzero-Duct. The other 26 cases underwent surgery. Results Intervention group, showed 3 failure cases because of selecting too small and undetachable coil in early stage with final displacement. Fourteen cases were successful . Follow-up 3 years showed no residue shunt and other complications. All patients were successful with surgery. Conclusions Transcatheter closure of the coronary artery fistula is mild invasive, short hospitalization, safe, and effective under proper indications.

关 键 词：冠状动脉瘘 介入治疗 

分 类 号：R543[医药卫生—心血管疾病]