经导管封堵房顶缘不足的房间隔缺损  

Transcatheter Closure of Atrial Septal Defect with the Deficient Atrium Roof Edge

作　　者：屠静静 刘煜昊[2] TU Jing-jing;LIU Yu-hao(Henan Province People＇s Hospital,Zhengzhou,Henan;Heart center of Henan Province People＇s Hospital,Zhengzhou,Henan)

机构地区：[1]河南省人民医院 [2]河南省人民医院心脏中心

出　　处：《世界最新医学信息文摘》2018年第22期25-26,共2页World Latest Medicine Information Electronic Version

摘　　要：目的探讨房顶缘不足的房间隔缺损(atrial septal defect,ASD)采用Amplatzer封堵器经导管封堵治疗的可行性。方法回顾经胸超声心动图诊断为房顶缘不足的继发孔型ASD11例,上述患者缺损距房顶的距离均<5mm,并经导管封堵治疗。分析上述患者基线特点、缺损形态特点、封堵结果。结果 11例房顶缘不足的ASD,均同时合并其他边缘不足,缺损最大径在17-35mm之间,成功10(90.9%)例,失败1例,随访6个月无手术相关并发症。结论房顶缘不足的ASD经导管封堵治疗可行,房顶缘不足合并前缘、后缘或上腔静脉缘中任一个边缘不足的ASD经导管封堵亦可行。Objective To explore the feasibility of transcatheter closure of atrial septal defect（ASD） with the deficient atrium roof edge using Amplatzer septal occluder. Methods 11 cases of ASD with the deficient atrium roof edge diagnosed by transthoracic echocardiography were analyzed retrospectively. All patients had a distance of less than 5 mm from the atrium roof to the defect, and had undergone attempted transcatheter closure. The baseline characteristics, morphological characteristics of defect and occluded results were analyzed. Results 11 cases of ASD with deficiency of atrium roof edge were all combined with other deficient rims, the largest diameters of defect was between 17-35 mm, 10 cases（90.9%） were successfully occluded, 1 cases failed, and no operative complications were found followed up for 6 months. Conclusion Transcatheter closure ASD with deficient atrium roof edge was feasible. Transcatheter closure ASD with deficient atrium roof edge and combined with deficient any one of anterior edge, posterior edge or superior vena cava edge was also feasible.

关 键 词：经导管封堵 边缘 房间隔缺损 AMPLATZER封堵器 

分 类 号：R540.46[医药卫生—心血管疾病]