节点文献
超声引导下股静脉路径动脉导管经皮封堵术:一种治疗新策略的可行性和安全性研究(英文)
Echocardiography-guided percutaneous closure of patent ductus arteriosus without arterial access: Feasibility and safety for a new strategy
【摘要】 目的:评估超声引导下股静脉路径动脉导管经皮封堵术的可行性和安全性。方法:选择2014年6月至2016年5月在中南大学湘雅二医院就诊的连续102例动脉导管未闭(patent ductus arteriosus,PDA)患儿。所有患儿在单纯超声引导下,经股静脉路径行动脉导管经皮封堵术。术后1,3,6,12,24个月定期随访,随访内容包括临床评估、心电图和超声心动图。结果:99例(97.1%)患儿成功实施超声引导下经股静脉路径动脉导管经皮封堵术。全组病例无急性手术并发症或严重不良事件。手术时间10~65(中位数21) min。87例(87.9%)患儿实现PDA即刻完全闭合,其余12例患儿均在24 h后达到完全闭合。随访时间1~24个月,随访期间无严重并发症发生。结论:超声引导下经股静脉路径动脉导管经皮封堵术避免了放射性暴露,无需造影剂,消除了动脉并发症的潜在风险,是治疗PDA患儿安全且有效的方法。
【Abstract】 Objective: To evaluate the feasibility and safety of device closure of patent ductus arteriosus(PDA) using only venous access under echocardiography guidance alone.Methods: A total of 102 consecutive pediatric patients underwent transcatheter PDA closure without arterial access, under the guidance of only echocardiography. Th e patients were followed up by clinical examination, electrocardiogram, and echocardiogram at 1, 3, 6 12, and 24 months.Results: Transvenous PDA closure under echocardiographic guidance was successful in 99(97.1%) patients. There were no acute procedural complications or severe adverse events. The duration ranged from 10 to 65 minutes(median, 21 minutes). Immediate complete closure of PDA was achieved in 87 patients(87.9%), and 100% of the patients were completely closed af ter 24 h. Th ere were no severe adverse events in the period of 1–24 months(median, 12 months) follow up.Conclusion: Transvenous PDA closure without fluoroscopy avoids radiation exposure, contrast agent usage and potential arterial complications. It can be used as an alternative procedure, especially for children.
【Key words】 patent ductus arteriosus; vascular access; imaging modalities; transesophageal echocardiography; radiation protection;
- 【文献出处】 中南大学学报(医学版) ,Journal of Central South University(Medical Science) , 编辑部邮箱 ,2018年09期
- 【分类号】R725.4
- 【被引频次】3
- 【下载频次】76