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[经导管未开胸封堵动脉导管未闭]

[Catheter closure of patent ductus arteriosus without thoracotomy].

作者信息

Qian J

机构信息

Shanghai Children Hospital.

出版信息

Zhonghua Xin Xue Guan Bing Za Zhi. 1992 Jun;20(3):167-8, 196.

PMID:1289028
Abstract

Transcatheter plugging of patent ductus arteriosus with modified Porstmann's method was performed in children of school age and adults (130 cases) in recent 10 years. We devised a set of instrument, self-made plastic Ivalon for tailoring the plugs, developed the technique of retrograde aortic angiography to measure the diameter of the ductus, and determined the criteria of definite lodgement of the plug. 3 cases failed because their femoral arteries were too small to have the catheter sheath introduced. The other 3 cases developed thrombosis of the femoral arteries after the procedure, and the thrombi were removed by surgery.

摘要

近10年来,我们采用改良的波特曼氏法对学龄儿童和成人(共130例)进行了经导管动脉导管未闭封堵术。我们设计了一套器械,自制了用于裁剪封堵器的塑料异丁烯酸酯,改进了逆行主动脉造影技术以测量动脉导管的直径,并确定了封堵器确切植入的标准。3例因股动脉太细无法插入导管鞘而失败。另外3例术后发生股动脉血栓形成,血栓通过手术取出。

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