论文部分内容阅读
目的:探讨经导管介入治疗动脉导管未闭并伴赘生物形成的感染性心内膜炎的可行性及安全性。方法:研究总结海南省人民医院心内科2010-09-2016-07经导管介入治疗的7例动脉导管未闭并伴赘生物形成感染性心内膜炎患者的临床资料。结果:患者年龄20~47(30.9±10.4)岁,男3例,女4例,均为先天性心脏病动脉导管未闭患者。赘生物直径7~11(9.1±1.5)mm,位移角度25°~50°(36.3°±8.3°),颈长/颈宽0.37~0.63(0.50±0.08)。介入治疗前间隔感染性心内膜治愈时间为6~36个月,中位时间为10个月。7例患者均成功封堵。术后随访1个月~6年,赘生物持续存在,大小无变化,无栓塞、完全性房室传导阻滞、残余分流、溶血、封堵器移位和脱落、心力衰竭及感染性心内膜炎复发和再感染。结论:对于部分动脉导管未闭并伴赘生物形成的感染性心内膜炎患者,经导管介入治疗是安全可行的技术。
Objective: To investigate the feasibility and safety of transcatheter intervention for infective endocarditis caused by patent ductus arteriosus and neoplasm. Methods: To summarize the clinical data of 7 cases of patent ductus arteriosus and patent ductus arteriosus who underwent catheterization in Hainan Provincial People ’s Hospital. Results: Patients aged 20 to 47 (30.9 ± 10.4) years, 3 males and 4 females, all patients with patent ductus arteriosus congenital heart disease. The diameter of the neoplasm was 7-11 (9.1 ± 1.5) mm, the displacement angle was 25 ° -50 ° (36.3 ° ± 8.3 °), and the neck length / neck width was 0.37-0.63 (0.50 ± 0.08). Interventional treatment of infectious endocardial septum healing time was 6 to 36 months, the median time was 10 months. Seven patients were successfully blocked. Postoperative follow-up of 1 month to 6 years, neoplasm persisted, no change in size, no embolization, complete atrioventricular block, residual shunt, hemolysis, occluder displacement and fall off, heart failure and infectious heart Membranous relapse and re-infection. Conclusions: Transcatheter intervention is safe and feasible for patients with infective endocarditis who have patent ductus arteriosus and neoplasm.