[儿童动脉导管未闭的经导管封堵术。黎巴嫩首例系列报道]
[Transcatheter closure of the patent ductus arteriosus in children. The first Lebanese series].
作者信息
Saliba Zakhia, El-Rassi Issam, Daou Linda, Chehab Ghassan, Abdallahi Alawi, Gerbaka Bernard, Ashoush Ramzi
机构信息
Unité de Cardiopédiatrie, Réanimation et Chirurgie cardíaque pédiatrique, Hôtel-Dieu de France.
出版信息
J Med Liban. 2002 Sep-Dec;50(5-6):197-200.
UNLABELLED
Percutaneous closure of the patent ductus arteriosus (PDA) has become an efficient and safe technique in children. We report the first Lebanese series of 8 children who had their PDA closed percutaneously with a coil or an Amplatzer Duct Occluder.
METHODS
Patients median age was 3.2 years (range 1.2 to 12 years). The median minimal diameter of the PDA was 2.1 mm (1.2 to 4 mm). A coil was used in 4 children and an Amplatzer occluder in the 4 other patients. The device was chosen according to the diameter of the PDA.
RESULTS
The results were excellent in all patients. A trivial shunt present in 3 cases, disappeared within 8 weeks. No complication were noted in this series.
CONCLUSION
Percutaneous closure of the PDA in children, using interventional radiology, is a simple and reproducible technique. It is now the treatment of choice in most pediatric cardiac centers worldwide.
未标注
经皮闭合动脉导管未闭（PDA）已成为治疗儿童该疾病的一种有效且安全的技术。我们报告了黎巴嫩首例8例经皮使用线圈或Amplatzer动脉导管封堵器闭合PDA的儿童病例系列。
方法
患者中位年龄为3.2岁（范围1.2至12岁）。PDA的中位最小直径为2.1毫米（1.2至4毫米）。4名儿童使用了线圈，另外4名患者使用了Amplatzer封堵器。根据PDA的直径选择器械。
结果
所有患者的结果均极佳。3例出现微量分流，在8周内消失。该病例系列未观察到并发症。
结论
采用介入放射学方法经皮闭合儿童PDA是一种简单且可重复的技术。它现已成为全球大多数儿科心脏中心的首选治疗方法。
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