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房间隔缺损是临床最常见的先天性心脏病之一,约占先心病的10%~15%。自1997年Amplatzer封堵器应用于临床以来,介入治疗由于其确切的疗效得到迅速推广,目前已成为外科手术之外房间隔缺损的常规治疗方法之一。但是,由于适应证选择不当、操作技术欠佳或介入治疗经验不足等原因所造成的并发症也时有发生,尤其是房间隔缺损封堵术术中及术后发生的并发症会造成一些严重不良后果,影响疗效及预后。本文综述国内外文献报道的各类并发症以及预防和处理措施,望引起介入医师的高度重视。
Atrial septal defect is one of the most common clinical congenital heart disease, accounting for about 10% to 15% of congenital heart disease. Since the Amplatzer occluder was introduced to the clinic in 1997, interventional therapy has rapidly become one of the routine treatments for atrial septal defects outside of surgery due to its rapid availability. However, complication due to improper indications, improper operation skills or lack of experience in interventional treatment also occur from time to time. In particular, complications during and after closure of atrial septal defects can cause serious problems Adverse consequences, affect the efficacy and prognosis. This article reviews various types of complications reported in the literature both at home and abroad, as well as prevention and treatment measures, hope to arouse the attention of interventional physicians.