一种使用Amplatzer动脉导管封堵器闭合动脉导管未闭的混合方法。
A hybrid approach for patent ductus arteriosus closure using the Amplatzer Duct Occluder.
作者信息
Gu Qun, Ma Luyao, Gu Haitao, Meng Yaling, Shen Chen, Kong Xiangyin, Shao Yongfeng, Zhang Shijiang
机构信息
Department of Cardiovascular Surgery, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu Province, China.
出版信息
J Card Surg. 2018 Oct;33(10):684-687. doi: 10.1111/jocs.13817. Epub 2018 Sep 16.
OBJECTIVE
We performed closure of the patent ductus arteriosus (PDA) using a hybrid approach with an Amplatzer Duct Occluder.
METHODS
Six patients (two males and four females) underwent PDA closure at a mean age of 7.8 months (range 2-24 months) and a mean weight of 6.6 kg (range 4.5-13 kg). The main pulmonary artery (MPA) was exposed via a minimally invasive left parasternal second intercostal space incision. Under transesophageal echocardiography guidance, the PDA occluder was implanted via direct puncture of the MPA.
RESULTS
The procedure was successful in all patients with no residual shunt. There were no hospital deaths, and the postoperative course was uneventful. All patients were discharged on the 3rd to 4th day. There was no residual shunt in any patient on midterm follow-up.
CONCLUSIONS
The novel hybrid approach is a safe, minimal invasive procedure. Further experience and longer follow-up of these patients is necessary to conclude whether this technique is applicable to all the patients with a PDA.
目的
我们采用一种联合使用Amplatzer动脉导管封堵器的混合方法来闭合动脉导管未闭（PDA）。
方法
6例患者（2例男性，4例女性）接受了PDA封堵术，平均年龄7.8个月（范围2 - 24个月），平均体重6.6千克（范围4.5 - 13千克）。通过微创左胸骨旁第二肋间切口暴露主肺动脉（MPA）。在经食管超声心动图引导下，通过直接穿刺MPA植入PDA封堵器。
结果
所有患者手术均成功，无残余分流。无住院死亡病例，术后病程平稳。所有患者均在第3至4天出院。中期随访时，所有患者均无残余分流。
结论
这种新型混合方法是一种安全的微创手术。需要对这些患者进行进一步的经验积累和更长时间的随访，以确定该技术是否适用于所有PDA患者。
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