封堵器栓塞后经导管闭合复杂房间隔缺损
Transcatheter closure of a complex atrial septal defect after occluder device embolization.
作者信息
Fuertes-Ferre Georgina, Hernández Hernández Felipe, López Ramón Marta, Sánchez Rubio Juan, Sánchez Insa Esther, Galache Osuna Jose Gabriel
机构信息
Interventional Cardiology Unit, Miguel Servet University Hospital, Zaragoza, Spain..
Interventional Cardiology Unit, 12 Octubre University Hospital, Madrid, Spain.
出版信息
Cardiovasc Revasc Med. 2017 Sep;18(6S1):34-37. doi: 10.1016/j.carrev.2017.02.010. Epub 2017 Feb 20.
Percutaneous closure is nowadays considered the treatment of choice of ostium secundum atrial septal defects (ASD). However, transcatheter closure can be highly challenging when we face an ASD with complex morphological features. The combination of different imaging modalities can be very helpful. This case shows the great value of using both intracardiac and real time 3D transesophageal echocardiography for the percutaneous closure of a complex iatrogenic ASD after device embolization.
如今，经皮封堵术被认为是继发孔型房间隔缺损（ASD）的首选治疗方法。然而，当面对具有复杂形态特征的ASD时，经导管封堵可能极具挑战性。不同成像方式的联合使用可能会非常有帮助。本病例展示了在心内和实时三维经食管超声心动图用于经皮封堵器械栓塞后复杂医源性ASD中的巨大价值。
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