超声心动图在室间隔缺损Amplatzer封堵术中的应用  

Application of echocardiography in transcatheter closure of ventricular septal defect with Amplatzer occluder

作　　者：田家玮[1] 秦燕[2] 于波[2] 尹新华[2] 崔林[2] 

机构地区：[1]哈尔滨医科大学附属第二医院超声科,150086 [2]哈尔滨医科大学附属第二医院心内科,150086

出　　处：《中华超声影像学杂志》2004年第1期20-22,共3页Chinese Journal of Ultrasonography

摘　　要：目的　探讨超声心动图在室间隔缺损封堵术中的应用价值。方法　在经胸超声和数字减影血管造影监测引导下 ,对 15例膜周部室间隔缺损用Amplatzer偏心伞形封堵器封堵。 结果　 15例封堵全部成功 ,其中 6例术中出现二尖瓣反流或残余分流 ,经调整封堵器的位置和方向后 3例反流即刻消失 ,3例术后 1个月时消失 ;1例次日伞脱落后二次封堵成功 ;2例出现Ⅲ度房室传导阻滞 ,3d治愈。最长随访 10个月 ,均见封堵器位置正常、稳定 ,无合并症。结论　超声心动图在室间隔缺损封堵术前。Objective To probe the value of using echocardiography in transcatheter closure of ventricular septal defect (VSD).Methods Under transthoracic echocardiography and digital subtraction angiocardiography monitoring and guidance in the operation,the Amplatzer excentric umbrella occluder was used to occlude the perimembranous defects in 15 cases of patients.Results All of the patients were treated successfully,though mitral regurgitations or residual shunts occurred in 6 cases,and disappeared at once after the position and direction of occluder were regulated in 3 and these complications disappeared gradually one month postoperation in other 3 patients.The umbrella separated from VSD in 1 and occluded successfully when manipulated once again.Complete heart block occurred in 2 and disappeared after 3 days.The positions of umbrella were normal and stable and no other complications were discovered when these patients were followed about 10 months the longest.Conclusions Echocardiography plays an important role in transcatheter closure of VSD with the Amplatzer occluder before,during and after operation and in the period of follow up.

关 键 词：超声心动图 室间隔缺损 Amplatzer封堵术 诊断 小儿 

分 类 号：R541.1[医药卫生—心血管疾病]