动脉导管未闭合并肺动脉高压堵闭术  

Clinical application of transcatheter closure in PDA with pulmonary hypertension

作　　者：梁跃凤[1] 左玉宽[1] 荆雪红[1] 李红旗[1] 

机构地区：[1]山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2003年第8期568-569,共2页Journal of Medical Imaging

摘　　要：目的 :评价动脉导管未闭 (PDA)合并肺动脉高压堵闭术的临床应用价值。方法 :本组 1 4例PDA合并肺动脉高压患者实施了蘑菇伞堵闭术 ,术前常规进行导管检查和主动脉弓造影。结果 :术前肺动脉压 67.0± 2 4 .6/37.8±8 9mmHg,主动脉压为 88.5± 1 4 .6/46 .5± 1 1 .3mmHg。术后 30min肺动脉压降为 49.8± 1 3 .3/2 0 .2± 1 2 .3mmHg(P <0 0 0 1 ) ,动脉压升至 95 .6± 1 8.4/58.0± 1 2 .1mmHg(P <0 .0 5)。成功率 1 0 0 % ,无严重并发症。结论 :经导管堵闭术治疗PDA合并肺动脉高压 ,是一种疗效好 ,创伤小的介入治疗 ,值得推广。Objective:To evaluate the appli ca tion values of transcatheter closure in patent ductus arteriosus (PDA) with pulm onary hypertension.Methods :Transcatheter closure of PDA were performed in 14 patients wit h pulmonary hypertension amplatzer duct occluder was used in all the patients.Ro utine cardiac catheterization and aortic arches angiography were undergone in th e patients before transcatheter closure procedure.[WT5 ”HZ]Results:Transcatheter closures were succefully performe d in all the patients and without any severe complication.thirty-minutes after interventional procedure,the heart monitor recorded that the pulmonary pressure decreased from 67.0±24.6/37.8±8 9mmHg to 49.8±13.3/20.2±12.3mmHg ((P< 0. 001) and aortic pressure increased from 88.5±14.6/46.5±11.3mmHg to 95 6±18 .4 /58.0±12.1mmHg ((P<0.05).Conclusion:Trans catheter closure of PDA with pulmonary hypertension was a safe and effective int erventional method and it should be better utilized in the future.

关 键 词：动脉导管未闭 肺动脉高压 堵闭术 

分 类 号：R541.1[医药卫生—心血管疾病] R815[医药卫生—内科学]