心腔内超声心动图引导下经导管封堵房间隔缺损的安全有效指导
Safe and efectivef guidance by intracardiac echocardiography for transcatheter closure in atrial septal defects.
作者信息
Wang Yu, Guo Tao, Liang Guizheng, Zhao Ling, Pan Jiahua, Li Shumin, Hua Baotong, Pu Lijin
机构信息
Department of Cardiology, First Affiliated Hospital of Kunming Medical University Yunnan 650032, China.
出版信息
Int J Clin Exp Med. 2015 May 15;8(5):8015-9. eCollection 2015.
BACKGROUND
The aim of this study was to investigate the clinical outcome of intracardiac echocardiography (ICE) for transcatheter closure of atrial septal defect (ASD) compared with the trans-esophageal echocardiography (TEE) guided method.
METHODS
From May 2010 to April 2011, 46 patients who underwent ICE guided (n=23) or TEE guided (n=23) transcatheter closure of ASD were analyzed retrospectively. We compared the demographic characteristic, procedure parameters and outcomes between ICE- and TEE-guided groups.
RESULTS
No significant difference was found between 2 groups on demographic characteristics. Fluoroscopy time and procedure time was significantly decreased in ICE guided group than that in TEE-guided group. In addition, no significant difference was found on treatment outcomes, complications between these 2 groups.
CONCLUSION
ICE-guided ASD occlusion is safe and effective method, which provides more accurate anatomical information, shorter fluoroscopy time and procedure time.
背景
本研究旨在探讨与经食管超声心动图（TEE）引导方法相比，心腔内超声心动图（ICE）引导经导管封堵房间隔缺损（ASD）的临床结果。
方法
回顾性分析2010年5月至2011年4月期间46例行ICE引导（n = 23）或TEE引导（n = 23）经导管封堵ASD的患者。我们比较了ICE引导组和TEE引导组的人口统计学特征、手术参数和结果。
结果
两组在人口统计学特征方面无显著差异。ICE引导组的透视时间和手术时间明显短于TEE引导组。此外，两组在治疗结果、并发症方面无显著差异。
结论
ICE引导的ASD封堵术是一种安全有效的方法，可提供更准确的解剖信息，缩短透视时间和手术时间。
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