冠状动脉瘘。经导管弹簧圈封堵术后的管理及中期结果。
Coronary artery fistula. Management and intermediate-term outcome after transcatheter coil occlusion.
作者信息
McMahon C J, Nihill M R, Kovalchin J P, Mullins C E, Grifka R G
机构信息
Lillie Frank Abercrombie Division of Pediatric Cardiology, Texas Children's Hospital and Baylor College of Medicine, Houston 77030, USA.
出版信息
Tex Heart Inst J. 2001;28(1):21-5.
Abstract
During the last 2 decades, transcatheter occlusion of coronary artery fistulae has developed into a safe and effective therapy for children. This procedure avoids the need for open surgical repair and the attendant complications of cardiopulmonary bypass and median sternotomy. The long-term outcome in patients after transcatheter occlusion remains unknown. We describe the intermediate-term progress of 4 such patients after coil occlusion of coronary artery fistulae. Persistent coronary artery dilatation was present in all patients reviewed, as late as 4 years after occlusion.
摘要
在过去20年中，经导管封堵冠状动脉瘘已发展成为一种治疗儿童的安全有效的方法。该手术避免了开胸手术修复以及体外循环和正中胸骨切开术带来的相关并发症。经导管封堵术后患者的长期预后尚不清楚。我们描述了4例冠状动脉瘘经弹簧圈封堵术后的中期进展。在所有接受复查的患者中，最晚在封堵后4年仍存在持续性冠状动脉扩张。
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