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婴幼儿及青年经房间隔左心导管检查术

Transseptal left heart catheterisation in infants, children, and young adults.

作者信息

Ali Khan M A, Mullins C E, Bash S E, al Yousef S, Nihill M R, Sawyer W

机构信息

Riyadh Cardiac Centre, Armed Forces Hospital, Kingdom of Saudi Arabia.

出版信息

Cathet Cardiovasc Diagn. 1989 Aug;17(4):198-201. doi: 10.1002/ccd.1810170403.

DOI:10.1002/ccd.1810170403
PMID:2766352
Abstract

Over a 5 yr period, from October 1983 to September 1988, transseptal left heart catheterisation, using Mullins long-sheath technique, was performed in 217 infants, children, and young adults, with various forms of congenital or acquired heart disease. The mean age was 50 +/- 45 months, (range 1 mo to 21 yr). The procedure was successful in 215 (99%) patients. Pericardial puncture occurred in three patients (1.4%), though without tamponade or sequelae. There was no mortality or morbidity. Transseptal left heart catheterisation is a safe procedure for studying the left side of the heart. In addition, and of increasing importance, it allows the performance of interventional procedures on the left side of the heart and avoids the use of retrograde catheterisation through the femoral arteries.

摘要

在1983年10月至1988年9月的5年期间,采用穆林斯长鞘技术对217例患有各种先天性或后天性心脏病的婴儿、儿童和青年进行了经房间隔左心导管检查。平均年龄为50±45个月(范围1个月至21岁)。该操作在215例(99%)患者中成功。3例患者(1.4%)发生心包穿刺,但未出现心包填塞或后遗症。无死亡或发病情况。经房间隔左心导管检查是一种用于研究心脏左侧的安全操作。此外,且越来越重要的是,它允许在心脏左侧进行介入操作,并避免通过股动脉进行逆行导管检查。

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