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经导管动脉导管未闭封堵术在儿科心脏病学中的应用:适应证、结果与展望。

Transcatheter ductus arteriosus stenting in paediatric cardiology: Indications, results and perspectives.

机构信息

Department of Paediatric and Adult Congenital Cardiology, Bordeaux University Hospital (CHU), avenue Magellan, 33600 Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, fondation Bordeaux université, 33600 Pessac, France; U1045, Inserm, centre de recherche cardio-thoracique de Bordeaux, 33000 Bordeaux, France.

Department of Paediatric and Adult Congenital Cardiology, Bordeaux University Hospital (CHU), avenue Magellan, 33600 Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, fondation Bordeaux université, 33600 Pessac, France; U1045, Inserm, centre de recherche cardio-thoracique de Bordeaux, 33000 Bordeaux, France.

出版信息

Arch Cardiovasc Dis. 2020 Feb;113(2):129-141. doi: 10.1016/j.acvd.2019.10.004. Epub 2019 Nov 18.

Abstract

Stenting the arterial duct emerged in the early 1990s as an alternative to a variety of surgical interventions in neonates with a duct-dependent pulmonary or systemic circulation complex defect. Furthermore, palliative ductal stenting has been applied in older children with severe suprasystemic pulmonary arterial hypertension, as an alternative to surgical shunts, such as Potts anastomosis. Early results of this technique were discouraging, but by learning from the failures of the past, ductal stenting has become a reliable palliative therapy. In this review, we aim to describe the historical evolution of ductal stenting, its different clinical applications and outcomes, and future perspectives for this strategy in congenital cardiac catheterization.

摘要

动脉导管支架置入术于 20 世纪 90 年代初出现,成为新生儿依赖动脉导管的肺或体循环复杂缺陷的各种手术干预的替代方法。此外,姑息性导管支架置入术已应用于患有严重超系统肺动脉高压的大龄儿童,作为手术分流术(如波茨吻合术)的替代方法。该技术的早期结果令人沮丧,但通过吸取过去的失败经验,导管支架置入术已成为一种可靠的姑息治疗方法。在这篇综述中,我们旨在描述导管支架置入术的历史演变、其不同的临床应用和结果,以及该策略在先天性心导管术未来的展望。

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