经导管封堵动脉导管未闭的远期临床效果  

Long-term effect of transcatheter closure of patent ductusarterious in the elder patients

作　　者：孙琦[1] 徐健[1] 何浩[1] 苏浩[1] 黄向阳[2] 袁奇[2] 杨冬妹[2] 

机构地区：[1]安徽省立医院心内科,合肥230001 [2]安徽省立医院超声科

出　　处：《临床心血管病杂志》2013年第7期551-553,共3页Journal of Clinical Cardiology

摘　　要：中老年动脉导管未闭（PDA）患者易并发肺动脉高压、心力衰竭、心律失常，并且高血压病、冠心病、心脏退行性瓣膜病的发生率也较高。因此，中老年PDA治疗具有较大风险。已证实经导管封堵中老年PDA具有良好的安全性及早期临床效果，但关于其远期临床疗效却鲜有报道。Summary We evaluated the long-term effect of transcatheter closure in 32 patients with PDA. One case with severe pulmonary arterial hypertension failed,the other 31 cases had successful occlusion. No operation complica- tions happened. Three months after transcatheter closure, PDA, sPAP, LAD, LVEDD were significantly decreased, and the incidence of heart function UI -IV decreased from 22.6% to 0%. But in the long-term follow- up, 20% of them （6/30 cases） began to deteriorate, and sPAP, LAD, LVEDD increased again.

关 键 词：动脉导管未闭 封堵术 预后 远期 

分 类 号：R541.1[医药卫生—心血管疾病]