【作者】 梁跃凤； 左玉宽； 荆雪红； 李红旗；

【Author】 LIANG Yao-feng, ZUO Yu-kuan, JING Xue-hong, et al. Division of Interventional Radiology, Shandong Medical Imaning Research Institute, Jinan 250021, China

【机构】 山东省医学影像学研究所；

【摘要】 目的:评价动脉导管未闭(PDA)合并肺动脉高压堵闭术的临床应用价值。方法:本组14例PDA合并肺动脉高压患者实施了蘑菇伞堵闭术,术前常规进行导管检查和主动脉弓造影。结果:术前肺动脉压67.0±24.6/37.8±8.9mmHg,主动脉压为88.5±14.6/46.5±11.3mmHg。术后30min肺动脉压降为49.8±13.3/20.2±12.3mmHg(P<0.001),动脉压升至95.6±18.4/58.0±12.1mmHg(P<0.05)。成功率100%,无严重并发症。结论:经导管堵闭术治疗PDA合并肺动脉高压,是一种疗效好,创伤小的介入治疗,值得推广。更多还原

【Abstract】 Objective:To evaluate the application values of transcatheter closure in patent ductus arteriosus(PDA)with pul monary hypertension.Methods:Transcatheter closure of PDA were perfonned in 14 patients with pulmonary hypertension amplatzer duct occluder was used in all the patients. Routine cardiac catheterization and aortic arches angiography were undergone in the patients before transcatheter closure procedure.Results:Transcatheter closures were succefully performed in all the patients and without any severe complication. thirty-minutes after interventional procedure,the heart monitor recorded that the pulmonary pressure decreased from 67.0±24.6/37.8±8.9mmHg to 49.8±13.3/20.2±12.3mmHg((P <0.001)and aortic pressure increased from 88.5±14.6/46.5±11.3mmHg to 95.6±18.4/58.0±12.1mmHg((P < 0.05). Conclusion:Transcatheter closure of PDA with pulmonary hypertension was a safe and effective interventional method and it should be better utilized in the future.更多还原