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使用血流导向球囊导管对新生儿和婴幼儿进行心导管插入术(作者译)

[Cardiac catheterization of neonates and young infants using a flow-directed balloon catheter (author's transl)].

作者信息

Franz C, Mennicken U

出版信息

Herz. 1978 Apr;3(2):98-102.

PMID:721044
Abstract

In cardiac catheterization with the Swan-Ganz-flow-directed balloon catheter the aorta or, in transposition of the great arteries, the pulmonary artery was entered from the left ventricle with a special heart catheterization technique in 68 neonates and young infants. In the same way selective aortography was performed in 29 of these patients. This catheterization technique has the following advantages: 1. the complete evaluation of complex cardiac anomalies even in neonates, 2. selective aortography avoiding the retrograde arterial catheterization, 3. reducing the risk of cardiac perforation or myocardial staining due to the contrast injection using the usual semirigid catheters. Balloon rupture or knotting are specific but avoidable complications.

摘要

在使用Swan-Ganz血流导向球囊导管进行心导管检查时,采用一种特殊的心导管检查技术,从左心室进入主动脉,或在大动脉转位的情况下进入肺动脉,共对68例新生儿和幼儿进行了检查。同样,其中29例患者进行了选择性主动脉造影。这种导管检查技术具有以下优点:1. 即使对新生儿也能全面评估复杂的心脏畸形;2. 选择性主动脉造影避免了逆行动脉导管插入术;3. 使用普通半硬导管注射造影剂时,降低了心脏穿孔或心肌染色的风险。球囊破裂或打结是特定但可避免的并发症。

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