Reidy J F, Jones O D, Tynan M J, Baker E J, Joseph M C
Br Heart J. 1985 Aug;54(2):184-92. doi: 10.1136/hrt.54.2.184.
Eight therapeutic embolisation procedures were performed by the transcutaneous catheter technique in seven patients with congenital heart disease. After surgical correction of tetralogy of Fallot (four patients), catheter embolisation was used to occlude two large aortopulmonary collaterals (one patient), three small aortopulmonary collaterals (one patient), and two Blalock-Taussig shunts (two patients). In two patients congenital coronary anomalies were occluded--a coronary arteriovenous malformation and a coronary artery/bronchial artery anastomosis. In one patient a pulmonary arteriovenous malformation was embolised. Detachable balloons were used to occlude six large arteries, the three small arteries were occluded with small gelfoam fragments, and the pulmonary arteriovenous malformation was occluded with multiple steel coils and large gelfoam pieces. Successful occlusion was achieved in all cases. No complications were encountered and the procedure was well tolerated even in the two patients receiving postoperative intensive care. Therapeutic embolisation in suitable cases is a safe and effective alternative to surgery and the detachable balloon technique is effective in occluding high flow vessels.
对7例先天性心脏病患者采用经皮导管技术进行了8次治疗性栓塞手术。在法洛四联症手术矫正后（4例患者），导管栓塞用于封堵2支大的主肺动脉侧支血管（1例患者）、3支小的主肺动脉侧支血管（1例患者）以及2个Blalock-Taussig分流（2例患者）。在2例患者中，先天性冠状动脉异常得到封堵——1例冠状动脉动静脉畸形和1例冠状动脉/支气管动脉吻合。在1例患者中，肺动静脉畸形被栓塞。使用可脱性球囊封堵6支大动脉，3支小动脉用小的明胶海绵碎片封堵，肺动静脉畸形用多个钢圈和大的明胶海绵块封堵。所有病例均成功实现封堵。未出现并发症，即使在2例接受术后重症监护的患者中，该手术也耐受性良好。在合适的病例中，治疗性栓塞是一种安全有效的手术替代方法，可脱性球囊技术在封堵高流量血管方面有效。
