應用偏心型封堵器經皮介入治療干下型室間隔缺損的可行性分析_《華西醫學》

作者：

邱旭 ¹ ,  馮沅 ² , 干昌平 ¹ , 安琪 ¹ , 石應康 ¹

四川大學華西醫院（成都，610041）1 心血管外科，2 心臟內科;

關鍵詞：

干下型室間隔缺損主動脈瓣脫垂導管介入封堵器微創治療

DOI：

10.7507/1002-0179.20130267

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　觀察和評價采用偏心型封堵器導管介入治療干下型室間隔缺損的近期療效和安全性。方法　2011年8月－12月，6例經無主動脈瓣脫垂的干下型室間隔缺損（直徑≤7 mm）患者（年齡＞3歲）在雜交手術室接受介入治療。造影評估后，建立動靜脈軌道，在保留導絲的情況下置入合適型號的國產偏心型室間隔缺損封堵器，并于術后定期隨訪復查。結果　6例患者缺損直徑4～7 mm（平均5.3 mm），其中5例成功地接受了導管介入封堵治療，置入封堵器直徑5～9 mm（平均6.4 mm）。僅1例因封堵器置入后出現主動脈瓣受壓影響關閉，即改由外科微創經胸封堵成功。所有患者在隨訪期內，無栓塞、殘余分流、瓣膜功能障礙、房室傳導阻滯、死亡等并發癥。結論　無主動脈瓣脫垂的干下型室間隔缺損患者接受導管介入封堵治療是安全、可行的，且短期隨訪結果良好。

引用本文： 邱旭,馮沅,干昌平,安琪,石應康. 應用偏心型封堵器經皮介入治療干下型室間隔缺損的可行性分析. 華西醫學, 2013, 28(6): 848-851. doi: 10.7507/1002-0179.20130267 復制

1.	Rudolph AM. Congenital Diseases of the heart: clinical-physiological considerations[M]. 3rd ed. West Sussex: John Wiley & Sons Ltd, 2009: 148-178.
2.	Anderson RH, Wilcox BR. The surgical anatomy of ventricular septal defects[J]. J Card Surg, 1992, 7(1): 17-35.
3.	Tweddell JS, Pelech AN, Frommelt PC. Ventricular septal defect and aortic valve regurgitation: pathophysiology and indications for surgery[J]. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2006, 9(1): 147-152.
4.	de Leval MR, Pozzi M, Starnes V, et al. Surgical management of doubly committed subarterial ventricular septal defects[J]. Circulation, 1988, 78 (5 Pt 2): Ⅲ 40-46.
5.	Kirklin WJ, Barrat-Boys BG. Cardiac Surgery[M]. 2nd ed. New York: Churchill Livingston, 1993: 749-824.
6.	Gan C, An Q, Lin K, et al. Perventricular device closure of ventricular septal defects: six months results in 30 young children[J]. Ann Thorac Surg, 2008, 86(1): 142-146.
7.	Lock JE, Block PC, McKay RG, et al. Transcatheter closure of ventricular septal defects[J]. Circulation, 1988, 78(2): 361-368.
8.	Szkutnik M, Qureshi SA, Kusa J, et al. Use of the amplatzer muscular ventricular septal defect occluder for closure of perimembranous ventricular septal defects[J]. Heart, 2007, 93(3): 355-358.
9.	Lê TP, Vaessen P, Freudenthal F, et al. Transcatheter closure of subaortic ventricular septal defect (VSD) using a nickel-titanium spiral coil (NitOcclud): animal study and initial clinical results[J]. Prog Ped Cardio, 2001, 14(1): 83-88.
10.	Sim EKW, Grignani RT, Wong ML, et al. Outcome of surgical closure of doubly committed subarterial ventricular septal defect[J]. Ann Thorac Surg, 1999, 67(3): 736-738.
11.	Moodie DS. Technology insight: transcatheter closure of ventricular septal defects[J]. Nat Clin Pract Cardiovasc Med, 2005, 2(11): 592-596.
12.	Gu M, You X, Zhao X, et al. Transcatheter device closure of intracristal ventricular septal defects[J]. Am J Cardiol, 2011, 107(1): 110-113.
13.	Fu YC, Bass J, Amin Z, et al. Transcatheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder: results of the U.S. phase I trial[J]. JACC, 2006, 47(2): 319-325.
14.	Zhou T, Shen XQ, Zhou SH, et al. Atrioventricular block: a serious complication in and after transcatheter closure of perimembranous ventricular septal defects[J]. Clinical Cardiology, 2008, 31(8): 368-371.
15.	Yip WC, Zimmerman F, Hijazi ZM. Heart block and empirical therapy after transcatheter closure of perimembranous ventricular septal defect[J]. Catheter Cardiovasc Interv, 2005, 66(3): 436-441.

1. 　Rudolph AM. Congenital Diseases of the heart: clinical-physiological considerations[M]. 3rd ed. West Sussex: John Wiley & Sons Ltd, 2009: 148-178.
2. 　Anderson RH, Wilcox BR. The surgical anatomy of ventricular septal defects[J]. J Card Surg, 1992, 7(1): 17-35.
3. 　Tweddell JS, Pelech AN, Frommelt PC. Ventricular septal defect and aortic valve regurgitation: pathophysiology and indications for surgery[J]. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu, 2006, 9(1): 147-152.
4. 　de Leval MR, Pozzi M, Starnes V, et al. Surgical management of doubly committed subarterial ventricular septal defects[J]. Circulation, 1988, 78 (5 Pt 2): Ⅲ 40-46.
5. 　Kirklin WJ, Barrat-Boys BG. Cardiac Surgery[M]. 2nd ed. New York: Churchill Livingston, 1993: 749-824.
6. 　Gan C, An Q, Lin K, et al. Perventricular device closure of ventricular septal defects: six months results in 30 young children[J]. Ann Thorac Surg, 2008, 86(1): 142-146.
7. 　Lock JE, Block PC, McKay RG, et al. Transcatheter closure of ventricular septal defects[J]. Circulation, 1988, 78(2): 361-368.
8. 　Szkutnik M, Qureshi SA, Kusa J, et al. Use of the amplatzer muscular ventricular septal defect occluder for closure of perimembranous ventricular septal defects[J]. Heart, 2007, 93(3): 355-358.
9. 　Lê TP, Vaessen P, Freudenthal F, et al. Transcatheter closure of subaortic ventricular septal defect (VSD) using a nickel-titanium spiral coil (NitOcclud): animal study and initial clinical results[J]. Prog Ped Cardio, 2001, 14(1): 83-88.
10. 　Sim EKW, Grignani RT, Wong ML, et al. Outcome of surgical closure of doubly committed subarterial ventricular septal defect[J]. Ann Thorac Surg, 1999, 67(3): 736-738.
11. 　Moodie DS. Technology insight: transcatheter closure of ventricular septal defects[J]. Nat Clin Pract Cardiovasc Med, 2005, 2(11): 592-596.
12. 　Gu M, You X, Zhao X, et al. Transcatheter device closure of intracristal ventricular septal defects[J]. Am J Cardiol, 2011, 107(1): 110-113.
13. 　Fu YC, Bass J, Amin Z, et al. Transcatheter closure of perimembranous ventricular septal defects using the new Amplatzer membranous VSD occluder: results of the U.S. phase I trial[J]. JACC, 2006, 47(2): 319-325.
14. 　Zhou T, Shen XQ, Zhou SH, et al. Atrioventricular block: a serious complication in and after transcatheter closure of perimembranous ventricular septal defects[J]. Clinical Cardiology, 2008, 31(8): 368-371.
15. 　Yip WC, Zimmerman F, Hijazi ZM. Heart block and empirical therapy after transcatheter closure of perimembranous ventricular septal defect[J]. Catheter Cardiovasc Interv, 2005, 66(3): 436-441.

《華西醫學》

應用偏心型封堵器經皮介入治療干下型室間隔缺損的可行性分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

《華西醫學》

應用偏心型封堵器經皮介入治療干下型室間隔缺損的可行性分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料