房间隔缺损封堵器脱落及相关并发症原因分析  

Analysis of causes of occluder abscission of atrial septal defect

作　　者：徐争鸣[1] 郑宏[1] 蒋世良[1] 胡海波[1] 赵世华[1] 徐仲英[1] 吕滨[1] 张戈军[1] 凌坚[1] 吴文辉[1] 张岩[1] 兰天[1] 金敬琳[1] 李世国[1] 徐丽丽[1] 孙鑫[1] 吕秀章[2] 梁玉[2] 王志民[2] 王浩[2] 孟宪强[2] 

机构地区：[1]北京协和医学院中国医学科学院阜外心血管病医院,100037 [2]北京协和医学院中国医学科学院阜外心血管病医院超声科,100037

出　　处：《中国介入心脏病学杂志》2012年第1期28-31,共4页Chinese Journal of Interventional Cardiology

摘　　要：目的探讨房间隔缺损介入治疗中导致封堵器脱落的重要影响因素,并对其常见并发症进行分析。方法回顾性分析阜外心血管病医院自2002年1月至2010年12月间行房间隔缺损封堵治疗术中10例封堵器脱落的病例资料。结果 10例封堵器脱落患者有3例经换用更大型号封堵器后获得成功,其余7例行外科手术取出封堵器并行缺损修补。结论术前超声心动图测量房间隔缺损直径及术中封堵器大小的选择在房间隔缺损封堵治疗中起着重要作用,而缺损边缘的情况则是封堵术成功与否的决定因素。Objective To explore the important factors of abscission of atrial septal defect（ASD） occluder and further analyse other common complications.Methods Retrospectively analyze 10 cases of occluder abscission in ASD patients who underwent transcatheter therapy in our hospital between January 2002 to December 2010.Results Three out of these 10 cases received successful re-implantation of occluders with bigger sizes after the abscission.The other 7 cases underwent surgical repair of ASD after taking the occluder out during operations.Two cases complicated with pulmonary vavular stenosis（PS） underwent percutaneous balloon pulmonary valvuloplasty（PBPV）.Conclusions The diameter measurement of ASD before and during the procedure and the selection of occluder size play important roles in interventional therapy of ASD.The condition of the edge of the defect was the decisive factor for the success of the interventional occlusion of ASD.

关 键 词：房间隔缺损 导管插入术 手术后并发症 

分 类 号：R541[医药卫生—心血管疾病]