蘑菇伞状未闭动脉导管封堵器的临床应用  

Transcatheter closure of patent ductus arteriosus using new Amplatzer duct occluder

作　　者：秦永文[1] 丁继军[1] 胡建强[1] 赵仙先[1] 曹江[1] 陈凌[1] 郑兴[1] 毛红娟[1] 

机构地区：[1]第二军医大学长海医院心内科,200433

出　　处：《上海医学》2002年第1期14-15,共2页Shanghai Medical Journal

摘　　要：目的　评价应用蘑菇伞状动脉导管封堵器 (ADO)经导管闭塞动脉导管未闭 (PDA)的即刻和早期疗效。方法　 2 2例病人 ,男 7例 ,女 15例 ,平均年龄 2 1(3～ 6 5 )岁。PDA平均最小直径为 5 .6 1(2～ 9)mm。应用F6～F7长鞘管经静脉系统输送ADO。结果　 2 2例病人均获成功。 13例术后即刻主动脉造影显示PDA完全堵塞。所有病人术后 1周心脏多普勒超声显示PDA完全堵塞 ,无并发症。结论　蘑菇伞状ADO经导管封堵术是治疗PDA的有效方法。Objective To assess the immediate and short term results of transcatheter closure of patent ductus arteriosus (PDA) using new Amplatzer duct occluder (ADO) device. Methods Twenty two patients (7 male, 15 female) underwent transcatheter closure of a PDA using the ADO at a mean age of 21 years (range from 3 to 65). The mean PDA diameter at its narrowest segment was 5.61 mm(2～9.0). A 6F or 7F long sheath was used for delivery of the ADO. Results The device was successful to deliver in all patients. Angiography showed that 13 patients had complete closure immediately. Within 1 week, color doppler revealed complete closure in all patients. No complications occurred. Conclusion Transcatheter closure using new ADO is an effective therapy for patients with PDA.

关 键 词：动脉导管未闭 导管插入术 封堵器 蘑菇伞状 临床应用 ADO PDA 

分 类 号：R541.1[医药卫生—心血管疾病]