一种治疗气管食管瘘的新方法：使用房间隔缺损封堵器进行闭合——土耳其的首例经验。
A new method of tracheoesophageal fistula treatment: Using an atrial septal defect occluder device for closure-The first Turkish experience.
作者信息
Ersoz Hasan, Nazli Cem
机构信息
Department of Thoracic Surgery, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey.
Izmir Katip Celebi Universitesi Ataturk Egitim ve Arastirma Hastanesi, Gogus Cerrahisi Klinigi, Karabaglar, 35150, Izmir, Turkey.
出版信息
Gen Thorac Cardiovasc Surg. 2018 Nov;66(11):679-683. doi: 10.1007/s11748-018-0933-y. Epub 2018 May 5.
OBJECTIVE
One of the techniques used in the treatment of tracheoesophageal fistula is applying the umbrella catheter, designed for closure of atrial septal defects, in this region. In the literature, we have encountered only 9 case reports in this regard. We shared a successfully closed tracheoesophageal fistula case with this technique.
CASE
A tracheoesophageal fistula in a 47-year-old male patient was successfully closed with an atrial septal defect occluder device. The patient died on the 42nd day after the procedure with no atrial septal defect occluder device-related problems.
CONCLUSION
Using of atrial septal defect occluder device may be an appropriate option for tracheoesophageal fistula treatment. It can be said that the procedure is successful when the device is completely covered. Even so, there is a need for multi-centered, randomized, controlled studies of large series about the subject.
目的
治疗气管食管瘘所采用的技术之一是在此区域应用专为闭合房间隔缺损设计的伞形导管。在文献中，我们仅遇到9例关于此方面的病例报告。我们分享了1例采用该技术成功闭合气管食管瘘的病例。
病例
一名47岁男性患者的气管食管瘘采用房间隔缺损封堵器成功闭合。患者在术后第42天死亡，未出现与房间隔缺损封堵器相关的问题。
结论
应用房间隔缺损封堵器可能是治疗气管食管瘘的一种合适选择。可以说，当封堵器完全覆盖时手术成功。即便如此，仍需要针对该主题开展多中心、随机、对照的大样本研究。
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