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单中心应用国产封堵器介入治疗中老年房间隔缺损的疗效及随访分析

沈叶佳 王亮 吴晓霞 孟越之 陆强 范美群 马东星 刘英 王冉冉 王磊

中华灾害救援医学2016,Vol.4Issue(4):206-209,4.
中华灾害救援医学2016,Vol.4Issue(4):206-209,4.DOI:10.13919/j.issn.2095-6274.2016.04.008

单中心应用国产封堵器介入治疗中老年房间隔缺损的疗效及随访分析

Efifcacy and follow-up analysis on the application of domestic occluder in atrial septal defect of elder patients in single interventional center

沈叶佳 1王亮 1吴晓霞 2孟越之 1陆强 3范美群 4马东星 1刘英 1王冉冉 1王磊1

作者信息

  • 1. 100039 北京,武警总医院 心内科
  • 2. 100039 北京,武警总医院 超声科
  • 3. 102401,北京市房山区良乡医院心内科
  • 4. 214400,江苏省江阴市人民医院心内科
  • 折叠

摘要

Abstract

Objective To study the efficacy and complications of the application of home-made atrial septum defect occluder for atrial septum defect (ASD) of elder patients in interventional operations.Methods Retrospectively analyzed 97 patients who aged more than 45 years of secundum atrial septal defect and were treated from Sep 2002 to Dec 2013 with home-made atrial septum defect occluderina cardiovascular interventional center of atop three hospital of armed police.Results The success rate of interventional operations with the application of home-made atrial septum defect occluder was 99.0% (96/97). The diameter of implanted occluder was between 14 mm and 44 mm, and the average diameter of occluder was (26.8±6.9) mm. There was no serious complications during perioperative period. The years of follow-up in the study was between 6 months and 4 years with an average follow-up of 2.3 years, and tracted 1 case of occluder shift. Instant after closure operation and at 6 to 12 months of follow-up, the pulmonary artery pressure and the right heart overload decreased significantly by TTE (P<0.05).Conclusions Interventional treatment of elder patients of secundum atrial septal defect by home-made atrial septum defect occluder has become the preferred method, for its high technical success rate, high safety and quick recovery. It can reduce pulmonary artery pressure and decrease the right heart overload successfully.

关键词

房间隔缺损/介入治疗/先天性心脏病/并发症/肺动脉高压

Key words

atrial septal defect/interventional therapy/congenital heart disease/complications/pulmonary arterial hypertension

分类

医药卫生

引用本文复制引用

沈叶佳,王亮,吴晓霞,孟越之,陆强,范美群,马东星,刘英,王冉冉,王磊..单中心应用国产封堵器介入治疗中老年房间隔缺损的疗效及随访分析[J].中华灾害救援医学,2016,4(4):206-209,4.

基金项目

武警总医院一类课题基金 ()

中华灾害救援医学

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