动脉导管未闭介入封堵方法选择及安全性的初步观察  

Preliminary Observation on Safety for Closure of Patent Ductus Arterious with the Domestic-made Occluder

作　　者：张长海 杨天和 刘晓桥 谭洪文 田翔 周松 李世英 

机构地区：[1]贵州省心血管病医院心内科,贵阳550002

出　　处：《贵州医药》2008年第12期1068-1071,共4页Guizhou Medical Journal

基　　金：贵州省优秀科技教育人才省长专项基金资助项目[黔省专(2005)228号]

摘　　要：目的探讨应用国产封堵器治疗动脉导管未闭(PDA)的方法及安全性,为PDA患者选择合理的介入治疗方法提供依据。方法102例患者中87例应用常规Amplatzer方法封堵,13例因PDA形态特殊、开口变异不能采用常规封堵方法而采用建立股动脉-PDA-肺动脉-股静脉轨道法进行封堵,2例应用单静脉入路法。结果全组技术成功率100%,术后即刻及随访观察均无残余分流,达到完全封堵治疗目的。无主要并发症发生。结论介入封堵PDA是一种操作简便、成功率高、疗效可靠及安全性好的治疗方法。不同病例应采取不同入路封堵。Objective To explore the way and safety of transcatheter closure of patent ductus arteriosus (PDA) using the domestic-made occluder and provide the applicable method for PDA cases.Methods 102 cases of PDA were treated through different interventional therapy. Among them,87 cases through routine Amplatzer method,13 cases with anatomy too difficult to be antegradely approached and were closed by building femoral artery-PDA-pulmonary artery-femoral vein wire-track,and 2 cases through the single venous approach. All the patients were interventional treated with the occluder through the percutaneous procedure under fluoroscopy angiography. Results The rate of technique success was 100% for all groups. No residual shunts were found after the operational procedure and during follow-up of 1 month,3 months,and 6 months. No major complications occurred in all cases. Conclusion The method of transcatheter closure of PDA with the domestic-made occluder is a simple,effective,and safe method with a high success rate and good occlusion effect. Different cases should adopt the different therapy approach.

关 键 词：动脉导管未闭 AMPLATZER法 动静脉轨道法 单静脉入路法 

分 类 号：R541.1[医药卫生—心血管疾病]