Ashfaq M, Houston A B, Gnanapragasam J P, Lilley S, Murtagh E P
Department of Cardiology, Royal Hospital for Sick Children, Glasgow.
Br Heart J. 1991 Mar;65(3):148-51. doi: 10.1136/hrt.65.3.148.
Balloon atrial septostomy was undertaken under cross sectional echocardiographic control in 63 consecutive infants: in no case was fluoroscopic imaging required. The procedure was performed in the cardiac catheterisation laboratory, ward side room, or at the bedside in the neonatal intensive care unit. Catheterisation via the umbilical vein was attempted in 37 infants aged less than 48 hours old and was successful in 27. No complication was clearly attributable to the procedure though two infants died. A nine day old child died from disseminated intravascular coagulation the day after septostomy by the iliofemoral route and another, aged nine days, died of necrotising enterocolitis which had developed when he was eight days old, after umbilical catheterisation at eight hours. Balloon atrial septostomy is a safe and easy procedure under cross sectional echocardiographic imaging control. Catheterisation via the umbilical vein was safe, easy to perform, and is appropriate in infants aged less than 48 hours.
在连续63例婴儿中，在横断面超声心动图引导下进行了球囊房间隔造口术：无一例需要荧光透视成像。该操作在心脏导管实验室、病房侧室或新生儿重症监护病房床边进行。对37例年龄小于48小时的婴儿尝试经脐静脉插管，27例成功。尽管有两名婴儿死亡，但无明确的并发症可归因于该操作。一名9天大的儿童在经髂股途径进行房间隔造口术后第二天死于弥散性血管内凝血，另一名9天大的儿童在8小时大时经脐静脉插管后，8天大时发生坏死性小肠结肠炎并死亡。在横断面超声心动图成像引导下，球囊房间隔造口术是一种安全、简便的操作。经脐静脉插管安全、易于操作，适用于年龄小于48小时的婴儿。
