论文部分内容阅读
目的 评价Amplatzer封堵器介入治疗巨大ASD的安全性和可行性。方法 12例住院患者 ,均经临床及超声心动图证实为继发孔型ASD ,以充盈球囊最大伸展直径加 2～ 4mm为原则选择封堵器型号 ,应用左上肺静脉法及经胸超声心动图监测放置Amplatzer封堵器。结果 12例全部封堵成功 ,手术成功率 10 0 % ;术后即刻及一天、三天、三个月、六个月、一年复查经胸超声心动图观察无残余分流及影响周围瓣膜及静脉功能 ,无血栓栓塞事件发生 ,一例发生频发房性心率失常 ,经心律平 4 5 0mg/日治疗一个月后消失 ,无其他并发症发生。结论 Amplatzer封堵器介入治疗成人巨大ASD是一种安全、有效的治疗方法 ,经胸超声心动图监测封堵器放置可以提高手术成功率。
Objective To evaluate the safety and feasibility of Amplatzer occluder in the treatment of huge ASD. Methods 12 cases of hospitalized patients were confirmed by clinical and echocardiography as secondary perforation ASD, filling balloon maximum diameter plus 2 ~ 4mm principle selection occluder model, the application of left upper pulmonary vein method and transthoracic echocardiography Monitor placement of Amplatzer occluder. Results All 12 cases were successfully occluded, and the successful rate was 100%. No residual shunt was observed immediately after operation and one day, three days, three months, six months and one year after operation. No residual shunt was found and the surrounding valves and veins Function, no thromboembolic events occurred, one case of frequent atrial arrhythmia, 450mg per day after treatment disappeared one month after treatment, no other complications. Conclusion Amplatzer occluder interventional treatment of adult giant ASD is a safe and effective method of treatment, transthoracic echocardiography monitoring occluder placement can improve the success rate of surgery.