国产封堵器治疗并发重度肺动脉高压的动脉导管未闭  

Transcatheter occlusion of patent ductus arterious complicated severe pulmonary hypertension with China-made occluders

作　　者：周滔[1] 周胜华[1] 沈向前[1] 胡信群[1] 方臻飞[1] 吕晓玲[1] 

机构地区：[1]中南大学湘雅二医院心导管室,湖南长沙410011

出　　处：《心脏杂志》2006年第2期208-210,共3页Chinese Heart Journal

基　　金：国家十五攻关项目资助(No.2001BA706B09)

摘　　要：目的评价国产封堵器治疗并发重度肺动脉高压动脉导管未闭(PDA)的可行性及近期效果。方法采用经导管国产封堵器堵闭并发重度肺动脉高压PDA 9例,术后进行经胸超声心动图、X线及心电图复查随访。结果9例均封堵成功;2例术后残余分流,在30 d随访中完全消失;血流动力学及心功能在术后和随访期间均有显著改善。全部病例均无严重并发症。结论应用国产封堵器治疗并发重度肺动脉高压PDA,安全可行,近期效果好。AIM To evaluate the feasibility and effectiveness of transcatheter closure of patent ductus arterious （PDA） complicated severe pulmonary hypertension （SPH） with China-made occluders. METHODS Nine patients with PDA complicated SPH were occluded with China-made occluders and followed up for 1 to 2 days and 30 days after treatment. RESULTS All the 9 patients were occluded successfully. There was small residual shunt in two patients, which vanished slowly during the 30 day follow-up. The pulmonary artery pressure （PAP） was gravitated 22 -60 mmHg. The capacity of left ventricular improved obviously. There were no severe complications. CONCLUSION Transcatheter closure of PDA with severe pulmonary hypertension with China-made occluders is not only safe and feasible but has very good short-term result.

关 键 词：动脉导管未闭 放射学 介入性 国产封堵器 重度肺动脉高压 

分 类 号：R543.2[医药卫生—心血管疾病]