经胸超声心动图引导下独立封堵动脉导管未闭的临床研究
Clinical study of stand-alone transthoracic echocardiography-guided percutaneous occlusion of patent ductus arteriosus.
作者信息
Cao Hua, Chen Qiang, Zhang Gui Can, Chen Liang Wan, Xu Fan, Zhang Jia-Xin
机构信息
Department of Cardiovascular Surgery, Union Hospital, Fujian Medical University; Fuzhou-P. R. China.
出版信息
Anatol J Cardiol. 2018 Jul;20(1):30-34. doi: 10.14744/AnatolJCardiol.2018.90001.
OBJECTIVE
We aimed to investigate the feasibility and safety of stand-alone transthoracic echocardiography-guided percutaneous occlusion of patent ductus arteriosus (PDA) without the use of X-ray equipment.
METHODS
From January to December 2015, we performed stand-alone transthoracic echocardiography-guided percutaneous PDA occlusion using an occluder delivered via a delivery sheath introduced via femoral vein access without the use of X-ray equipment in 12 PDA patients.
RESULTS
PDA occlusion was successfully performed in all 12 patients. The procedure duration ranged from 30 to 110 min (50.4±22.8 min), and the size of the implanted occluder ranged from 12 to 20 mm (15.2±2.8 mm). No occluder migration, residual shunt, or thrombotic complications were observed in the perioperative period. There was no clinical death, hemolysis, infection, or embolism during patients' hospitalization and the follow-up period.
CONCLUSION
Stand-alone transthoracic echocardiography-guided percutaneous PDA occlusion without the use of X-ray equipment is a safe and effective procedure.
目的
我们旨在研究在不使用X射线设备的情况下，单纯经胸超声心动图引导下经皮动脉导管未闭（PDA）封堵术的可行性和安全性。
方法
2015年1月至12月，我们对12例PDA患者在不使用X射线设备的情况下，采用经股静脉途径通过输送鞘管输送封堵器，进行单纯经胸超声心动图引导下经皮PDA封堵术。
结果
12例患者均成功完成PDA封堵。手术时间为30至110分钟（50.4±22.8分钟），植入封堵器的尺寸为12至20毫米（15.2±2.8毫米）。围手术期未观察到封堵器移位、残余分流或血栓形成并发症。患者住院期间及随访期间无临床死亡、溶血、感染或栓塞发生。
结论
在不使用X射线设备的情况下，单纯经胸超声心动图引导下经皮PDA封堵术是一种安全有效的手术。
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