未闭动脉导管经皮弹簧栓栓堵方法的临床研究  

Clinical Study of Percutaneous Transcatheter Closure of Patent Ductus Arteriosus Using Detachable Coil

作　　者：熊鉴然[1,2] 刘延玲[1,2] 徐洪涛[1,2] 费宇行 程克正[1,2] 王浩 高连如 朱智明[1,2] 田惠生[1,2] 李芝声[1,2] 

机构地区：[1]中国人民解放军海军总医院心内科 [2]中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院超声科

出　　处：《中国循环杂志》1997年第5期372-374,共3页Chinese Circulation Journal

摘　　要：目的：研究建立一种经皮可释放性弹簧栓栓堵治疗动脉导管未闭（ＰＤＡ）的新方法。方法：经主动脉造影测定ＰＤＡ内径及长度，在Ｘ线和超声心动图监测引导下，经心导管将可释放性弹簧栓栓堵于ＰＤＡ。分别采用Ｊａｃｋｓｏｎ弹簧栓（Ｊ组）和ＰＤＡ弹簧栓（Ｐ组）。经临床、主动脉造影和超声心动图确定疗效。结果：采用本法治疗２１例，ＰＤＡ平均最狭窄处内径３．１８±０．６２ｍｍ（范围１．５～４．７ｍｍ，其中８１％超过３ｍｍ），平均长度５．１７±２．１３ｍｍ。２０例获得成功且无并发症，术后经临床、主动脉造影和超声心动图检查，无残余分流。其中Ｊ组８例均获成功；Ｐ组１３例，成功１２例、失败１例。结论：本法属于安全可靠的非开胸治疗ＰＤＡ的新方法，创伤性很小，值得使用。Objective:To develop a new clinical method of percutaneous transcatheter closure of patent ductus arteriosus(PDA) using detachable coil. Methods:After the internal diameter and length of PDA were estimated by aortography,a set of detachable coil(Jackson coil for J Group and PDA coil for P Group) was delivered,released and lodged in the PDA through a catheter engaged retrogradely,under the monitoring of echocardiography and X ray. The results were comfirmed by clinical,aortographic and echocardiographic studies. Results:Twenty one patients were eligible.The narrowest internal diameter and length of PDA were 3 18±0 62 mm(range 1 5—4 7 mm,81%>3 mm) and 5 17±2 13 mm,respectively.Among them,20 cases were successfully treated using detached coils without any complications.There were no clinical,angiographic and echocardiographic evidences of residual shunting,including 8/8(100%)in J Group and 12/13(92%)in P Group. One case in P Group was failed. Conclusions:The study shows that the transcatheter coil closure of PDA is a new ,safe and less invasive method for the treatment of patients with PDA,so it is worthy to be used.

关 键 词：先天性心脏病 动脉导管未闭 经皮导管栓堵术 

分 类 号：R654.2[医药卫生—外科学]