青岛大学学报（医学版）2024，Vol.60Issue(4)：528-532,5.DOI:10.11712/jms.2096-5532.2024.60.111
DSA与TEE引导经皮PFO封堵术安全性与有效性比较
Safety and efficacy of digital subtraction angiography versus transesophageal echocardiography in guiding percutaneous patent foramen ovale occlusion
摘要
Abstract
Objective To investigate the feasibility,safety,and efficacy of digital subtraction angiography(DSA)versus transesophageal echocardiography(TEE)in guiding percutaneous patent foramen ovale(PFO)occlusion.Methods A total of 332 patients with PFO-related migraine due to unexplained stroke or no response to pharmacotherapy who were hospitalized in The First Affiliated Hospital of Shandong First Medical University from January 2018 to December 2022 were enrolled,and all patients underwent percutaneous PFO occlusion.According to the guidance method,they were divided into TEE group with 101 patients and DSA group with 231 patients,and according to the etiology,they were divided into migraine group with 151 patients and occult stroke group with 181 patients.A retrospective analysis was performed for the clinical data including clinical features,echocardiog-raphy,intraoperative data,and one-year postoperative follow-up.Results There wereno significant differences between the DSA group and the TEE groupin surgical success rate and the incidence rate of surgical complications,but the TEE group had a signifi-cantly longer time of operation and significantly higher hospitalcosts(t=5.125,Z=8.265,P＜0.001).Surgical success rate and the incidence rate of complications in the migraine group and the occult stroke group were consistent with the overall results.One-year follow-up showed no significant difference in HIT-6 score between the patients undergoing DSA and those undergoing TEE in the migraine subgroup;in the occult stroke subgroup,3 patients(2.2％)experienced the recurrence of stroke among the patients un-dergoing DSA,while no patient experienced such recurrence among the patients undergoing TEE,without a significant difference.Conclusion There areno significant differences between TEE-and DSA-guided percutaneous PFO occlusion in surgical success rate,the incidence rate of complications,and 1-year postoperative outcome,but patients undergoing DSA tend to have advantages in the time of operation and hospital costs.关键词
卵圆孔,未闭/心血管造影术/超声心动描记术,经食管/偏头痛/卒中/治疗结果Key words
foramen ovale,patent/angiocardiography/echocardiography,transesophageal/migraine/stroke/treatment outcome分类
医药卫生引用本文复制引用
孙冲,时培轩,宋文慧,武力舟,王海燕..DSA与TEE引导经皮PFO封堵术安全性与有效性比较[J].青岛大学学报（医学版）,2024,60(4):528-532,5.基金项目
山东省自然科学基金面上项目(ZR2023MH-041) （ZR2023MH-041）
