Paquet M, Béland M J
Service de cardiologie, hôpital de Montréal pour enfants, Québec, Canada.
Arch Mal Coeur Vaiss. 1991 Mar;84(3):361-4.
Between February 1988 and September 1989, 15 patients underwent closure of patent ductus arteriosus by the Rashkind technique modified by Mullins. The insertion of the occluder was achieved in all cases; however, in one patient, the prosthesis migrated to the abdominal aorta several hours after implantation. No other complications were observed. All patients were discharged from hospital under 24 hours after the procedure. The follow-up period ranges from 3 to 12 months. The rate of complete closure of the ductus was 50% 24 hours after implantation, 57% at 3 months, 66% at 6 months and 82% 12 months after the procedure. Our results suggest that the Rashkind technique for the closure of patent ductus arteriosus by the transvenous femoral approach is an effective and low risk procedure.
1988年2月至1989年9月期间，15例患者采用经Mullins改良的Rashkind技术闭合动脉导管未闭。所有病例均成功植入封堵器；然而，1例患者在植入封堵器数小时后，封堵器移位至腹主动脉。未观察到其他并发症。所有患者术后24小时内出院。随访时间为3至12个月。术后24小时动脉导管完全闭合率为50%，3个月时为57%，6个月时为66%，12个月时为82%。我们的结果表明，经股静脉途径采用Rashkind技术闭合动脉导管未闭是一种有效且低风险的手术方法。
