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目的探讨经导管介入法治疗小儿先天性冠状动脉瘘的方法及效果。方法广东省人民医院2002年1月至2005年1月收治的先天性冠状动脉瘘患儿9例,先行心导管检查及选择性冠状动脉造影,显示瘘管的形态及引流情况,建立达到或通过瘘管欲堵闭处的输送轨道。6例瘘管最窄处内径≤3mm的病例选用可控弹簧圈进行堵闭,3例内径>3mm的病例应用Amplazter动脉导管堵闭器进行堵闭。结果8例堵闭成功,1例瘘管扭曲严重的病例堵闭失败而行外科手术。全部病例随诊2个月至3年,随诊中无并发症发生。结论经导管介入治疗冠状动脉瘘是一种创伤性小、疗效确切的方法,但必须严格掌握介入治疗适应证。
Objective To investigate the method and effect of transcatheter interventional treatment of pediatric congenital coronary fistula. Methods Nine patients with congenital coronary artery fistula admitted to Guangdong Provincial People’s Hospital from January 2002 to January 2005 were enrolled in this study. Cardiac catheterization and selective coronary angiography were performed firstly to show the morphology and drainage of fistula. To block the conveyor track. 6 patients with the narrowest diameter of the fistula ≤ 3mm diameter controllable coil closure, 3 cases of diameter> 3mm cases should be closed Amplazter ductus arterial plug. Results 8 cases of successful closure, a case of serious distortion of fistula occlusion failure and surgery. All cases were followed up for 2 months to 3 years, no complications occurred during follow-up. Conclusion Transcatheter interventional treatment of coronary fistula is a traumatic small, effective method, but must be strictly controlled indications for intervention.