Ramakrishnan Sivasubramanian
Additional Professor, Department of Cardiology, All India Institute of Medical Sciences, Delhi, India.
Indian Heart J. 2015 Jul-Aug;67(4):399-405. doi: 10.1016/j.ihj.2015.07.001. Epub 2015 Jul 26.
Vascular plugs are ideally suited to close extra-cardiac, high flowing vascular communications. The family of vascular plugs has expanded. Vascular plugs in general have a lower profile and the newer variants can be delivered even through a diagnostic catheter. These features make them versatile and easy to use. The Amplatzer vascular plugs are also used for closing intracardiac defects including coronary arterio-venous fistula and paravalvular leakage in an off-label fashion. In this review, the features of currently available vascular plugs are reviewed along with tips and tricks of using them in the cardiac catheterization laboratory.
血管封堵器非常适合闭合心外高流量的血管交通。血管封堵器家族已经扩大。一般来说,血管封堵器的外形更低,新型号甚至可以通过诊断导管输送。这些特性使其用途广泛且易于使用。Amplatzer血管封堵器也被用于以非标签方式闭合心内缺损,包括冠状动脉瘘和瓣周漏。在这篇综述中,我们回顾了目前可用血管封堵器的特性,以及在心脏导管实验室使用它们的技巧。