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国产封堵器治疗嵴内型室间隔缺损的近远期效果观察

范美群 吴晓霞 马东星 焦小杰 刘英 李红 刘惠亮

武警医学Issue(10):991-993,996,4.
武警医学Issue(10):991-993,996,4.

国产封堵器治疗嵴内型室间隔缺损的近远期效果观察

Efficacy and long-term follow-up of interventional treatment by using demostic occluder of intracristal ventricular septal defect

范美群 1吴晓霞 2马东星 3焦小杰 3刘英 4李红 3刘惠亮3

作者信息

  • 1. 北京 100039 安徽医科大学武警临床学院心内科
  • 2. 100039 北京,武警总医院 心内科
  • 3. 100039 北京,武警总医院 心内科
  • 4. 100039 北京,武警总医院 医务部
  • 折叠

摘要

Abstract

Objective To assess the efficacy and long-term effect in interventional treatment of intracristal ventricular septal defect(IVSD).Methods Forty-three patients with IVSD confirmed by echocardiography were recruited, of whom 24 men with the age ranging from 3-21 and 19 women with the age ranging from 10-28years.The diameters of IVSD measured by echocardiography ranged 3-8 mm [mean(4.5 ±2.8) mm].The arteria cruralis-interventricular septal defect-femoral vein track was occluder established under the left ventricular and ascending arortic angiography,was used by demostic plugging device.Results Of all patients, the defects in 38 patients were successfully occluded, showing that the left to right shunt disappeared and minimal aortic valve regurgitation occurred only in three patients after the procedure.The occluders were not removed and cardiac arrhythmia did not occur after 4-9 years follow-up.Three of them were unsuccessful.Two patients underwent surgical operation, because they not only had ventricular septal defect but also had aortic coarctation or right ventricular outflow tract stenosis.Conclusions Interventional treatment of intracristal ventricu-lar septal defect without combined right coronet valve severe prolapse and severe aortic valve regurgitation is an effective and safe meth-od.The effect of demostic plugging device is good.Following indications strictly, the near term and long term effect are reliable.

关键词

国产封堵器/经导管介入封堵治疗/嵴内型室间隔缺损

Key words

demostic occluder/interventional closure/intracristal ventricular septal defect

分类

医药卫生

引用本文复制引用

范美群,吴晓霞,马东星,焦小杰,刘英,李红,刘惠亮..国产封堵器治疗嵴内型室间隔缺损的近远期效果观察[J].武警医学,2014,(10):991-993,996,4.

基金项目

武警总医院一类课题基金 ()

武警医学

OACSTPCD

1004-3594

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