Chatterjee T, Aeschbacher B C, Meier B
Universitätsklinik, Inselspital Bern.
Schweiz Med Wochenschr. 1997 Dec 6;127(49):2054-60.
In the past the standard therapy for significant atrial septal defect was surgical closure. In the presence of a patent foramen ovale with otherwise unexplained (cryptogenic) cerebral embolism, the therapy was oral anticoagulation or antiplatelet therapy. Surgery was considered only in the event of recurrence. Percutaneous transcatheter occlusion of atrial septal defect and patent foramen ovale is a new and valuable alternative to surgical closure. This report presents current knowledge and our own experience of nonsurgical closure of atrial septal defects and patent foramen ovale.
过去,对于显著的房间隔缺损,标准治疗方法是手术闭合。对于存在卵圆孔未闭且伴有其他不明原因(隐源性)脑栓塞的情况,治疗方法是口服抗凝药或抗血小板治疗。仅在复发时才考虑手术。经皮导管封堵房间隔缺损和卵圆孔未闭是手术闭合的一种新的、有价值的替代方法。本报告介绍了目前关于房间隔缺损和卵圆孔未闭非手术闭合的知识以及我们自己的经验。