Lew A S, Harper R W, Federman J, Anderson S T, Pitt A
Cathet Cardiovasc Diagn. 1983;9(6):601-9. doi: 10.1002/ccd.1810090611.
We report our recent experience of 207 consecutive transeptal catheterizations performed in the following groups of patients: aortic valve disease in 152, mitral valve disease in 20, combined aortic and mitral valve disease in 11, hypertrophic obstructive cardiomyopathy in 11, assessment of prosthetic cardiac valves in nine, and four miscellaneous. Transeptal catheterization failed in 20 patients. There was no attempt to advance the transeptal catheter from the left atrium into the left ventricle in 18 patients, and failure to advance the transeptal catheter from the left atrium into the left ventricle occurred in 13 patients. Transeptal catheterization was achieved in a mean time of 9.7 +/- 4.6 SD min. There were no deaths, two major and four minor complications. We conclude that transeptal catheterization remains a useful technique that in experienced hands is both rapid and safe.
我们报告了近期在以下几组患者中连续进行的207例经房间隔导管插入术的经验：152例主动脉瓣疾病患者、20例二尖瓣疾病患者、11例主动脉瓣和二尖瓣联合疾病患者、11例肥厚性梗阻性心肌病患者、9例人工心脏瓣膜评估患者以及4例其他杂项患者。20例患者经房间隔导管插入术失败。18例患者未尝试将经房间隔导管从左心房推进到左心室，13例患者出现经房间隔导管无法从左心房推进到左心室的情况。经房间隔导管插入术的平均时间为9.7±4.6标准差分钟。无死亡病例，有2例严重并发症和4例轻微并发症。我们得出结论，经房间隔导管插入术仍然是一项有用的技术，在经验丰富的医生手中既快速又安全。
