Dugal J S, Jetley V, Singh Charanjit, Datta S K, Sabharwal J S, Sofat Sunil
Classified Specialist (Medicine and Cardiology), Military Hospital (Cardiothoracic Centre), CTC, Pune - 411 040.
Senior Advisor (Medicine and Cardiology), Military Hospital (Cardiothoracic Centre), CTC, Pune - 411 040.
Med J Armed Forces India. 2003 Jul;59(3):218-22. doi: 10.1016/S0377-1237(03)80011-4. Epub 2011 Jul 21.
Surgical closure of Atrial Septal Defects (ASD) and Patent Ductus Arteriosus (PDA) can be performed successfully with low mortality. However, the morbidity associated with general anaesthesia, thoracotomy, cardiopulmonary bypass, postoperative monitoring in the intensive care unit, several days of hospital stay and the requirement of blood products is considerable. The expense associated with this morbidity, operative scar and the psychologic trauma to the patient and parents are additional disadvantages of surgery. Hence, the closure of these defects by transcatheter methods with various devices has been evaluated worldwide. We report the initial experience at our centre with closure of secundum ASDs and large PDAs with the Amplatzer Septal Occluder and Amplatzer Duct Occluder.
房间隔缺损(ASD)和动脉导管未闭(PDA)的手术闭合可以成功进行,死亡率较低。然而,与全身麻醉、开胸手术、体外循环、重症监护病房的术后监测、数天的住院时间以及血液制品的需求相关的发病率相当高。与这种发病率、手术疤痕以及对患者和家长的心理创伤相关的费用是手术的额外缺点。因此,全球范围内都在评估使用各种装置通过经导管方法闭合这些缺损。我们报告了我们中心使用Amplatzer房间隔封堵器和Amplatzer动脉导管封堵器闭合继发孔型ASD和大型PDA的初步经验。