Berger F, Ewert P
Abteilung für Angeborene Herzfehler/Kinderkardiologie, Deutsches Herzzentrum Berlin.
Ther Umsch. 2001 Feb;58(2):99-104. doi: 10.1024/0040-5930.58.2.99.
Parallel to the rapid advances in the surgical options in treating congenital heart defects pioneering innovations in interventional cardiology could establish alternative treatment to surgery for these patients. On the one hand there is a trend to interventionally cure simple heart defects, but on the other hand interventional procedures can often only support surgical treatment. This review gives a limited overview over the recent possibilities and problems of the interventional cardiology and therefore focuses on balloon dilatation of congenital valve or vessel stenoses, on device closure of intracardiac defects and on the implantation of stents for the enlargement of elastic or long stenoses.
与先天性心脏缺陷外科治疗方法的迅速发展并行的是,介入心脏病学领域的开创性创新为这些患者建立了替代手术的治疗方法。一方面,有一种通过介入手段治愈简单心脏缺陷的趋势,但另一方面,介入手术往往只能辅助外科治疗。本综述对介入心脏病学近期的可能性和问题进行了有限的概述,因此重点关注先天性瓣膜或血管狭窄的球囊扩张、心内缺损的器械封堵以及用于扩大弹性或长段狭窄的支架植入。