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作 者:罗丽[1] 赵毅兰[1] 李香伟[2] 郑红雨[1] 黄景斌 沈洁 潘艳[1]
机构地区:[1]广西壮族自治区人民医院超声科,南宁市530031 [2]广西壮族自治区人民医院心外科,南宁市530031
出 处:《中国超声医学杂志》2018年第1期80-82,共3页Chinese Journal of Ultrasound in Medicine
基 金:广西医药卫生自筹经费计划课题(No.Z20171002)
摘 要:目的探讨食道超声心动图(TEE)在经颈内静脉可调弯鞘行房间隔缺损(ASD)封堵术中的应用价值。方法回顾性分析在我院实施15例经颈内静脉可调弯鞘行ASD封堵术患者相关资料,TEE进行术前评估、术中引导监测及术后即刻评价疗效。结果 15例患者中,14例封堵成功,成功率93.3%。1例患者封堵失败,改行体外循环修补术成功。2例患者术后存在少量残余分流,随访3个月残余分流消失。1例患者术后存在中量残余分流,继续随访。所有患者术后定期随访中,均无严重并发症。结论 TEE在颈内静脉可调弯鞘行ASD封堵术中具有极其重要的作用。Objective To evaluate the value of Transesophageal echocardiography (TEE) on percutaneous trans- jugular vein closure of atrial septal defect (ASD) with curve-controllable sheath catheter. Methods From 15 patients with ASD underwent trans-jugular vein closure using the curve-controllable sheath catheter were analyzed retrospec- tive. All patients underwent TEE in the preoperative evaluation, intraoperative monitoring and guidance, and postop erative immediate evaluation. Results 14 patients underwent ASD closure successfully,with a success rate of 93.30%. 1 patient failed and he received surgical closure. Small residual shunt were found in 2 cases, which disappeared 3 months later. And median residual shunt was found in 1 case. All the patients were followed up regularly after the op- eration. No one occurred serious complications. Conclusions TEE is an essential tool at all stages of the procedure.
分 类 号:R540.45[医药卫生—心血管疾病] R541.1[医药卫生—内科学]
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