Alwi Mazeni, Mood Marhisham Che
Department of Paediatric Cardiology, Institut Jantung Negara (National Heart Institute), 145, Jalan Tun Razak, Kuala Lumpur 50400, Malaysia.
Department of Paediatric Cardiology, Institut Jantung Negara (National Heart Institute), 145, Jalan Tun Razak, Kuala Lumpur 50400, Malaysia.
Interv Cardiol Clin. 2013 Jan;2(1):93-113. doi: 10.1016/j.iccl.2012.09.011. Epub 2012 Dec 3.
Stenting of patent ductus arteriosus (PDA) is an attractive alternative to the surgical aortopulmonary shunt in the palliation of cyanotic congenital heart disease. However, the diverse morphology of PDA in this setting limits its role, as stenting an overly tortuous duct may not be feasible, and in a significant number of patients, ductus-related pulmonary artery stenosis contraindicates this procedure. The major acute complications are stent migration, thrombosis, and cardiac failure. Early failure of palliation caused by in-stent stenosis is another limitation of this procedure.
在治疗青紫型先天性心脏病时，动脉导管未闭（PDA）支架置入术是一种有吸引力的替代外科主动脉-肺动脉分流术的方法。然而，这种情况下PDA的多样形态限制了其作用，因为对过度迂曲的导管进行支架置入可能不可行，并且在相当数量的患者中，与导管相关的肺动脉狭窄是该手术的禁忌证。主要的急性并发症是支架移位、血栓形成和心力衰竭。支架内狭窄导致的早期姑息治疗失败是该手术的另一个局限性。
