食道超声心动图在经右颈内静脉可调弯鞘行房间隔缺损封堵术中的应用  被引量:5

The Value of Transesophageal Echocardiography on Percutaneous Trans-jugular Vein Closure of Atrial Septal Defect with Curve-controllable Sheath Catheter

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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.

关 键 词:食道超声心动图 颈内静脉 可调弯鞘 房间隔缺损 

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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