通过导管管理儿童的肺部扣留-一个单一中心的经验
Ibrahim Abu Zahira1, Raymond N Haddad1, Mathilde Meot1
1M3C-Necker, Hôpital Universitaire Necker Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), 75015 Paris, France.
Children (Basel, Switzerland)
|July 29, 2023
概括
过导管栓塞是一种安全有效的治疗儿童肺封存 (PS) 的方法. 这种微创方法成功地管理PS,经常改善相关的肺高血压和心脏问题.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 干预性放射学 干预性放射学
- 胸部外科手术 胸部外科手术
背景情况:
- 肺封存 (PS) 涉及异常的肺组织与异常的动脉.
- 过导管封闭是一种潜在的治疗方法,但结果数据有限.
- 这项研究评估了儿科患者PS的透导管管理.
研究的目的:
- 描述婴儿和儿童肺部封存的透导管管理的经验.
- 评估这种干预方法的安全性和有效性.
主要方法:
- 从1999年1月到2021年5月的临床数据的回顾性审查.
- 包括因疑似PS而接受诊断和/或干预性心脏导管治疗的患者.
- 评估程序细节,技术,安全和结果.
主要成果:
- 确定了71名患有PS的儿科患者,86%患有先天性心脏缺陷 (CHD).
- 53名患者进行了栓塞;8名新生儿患有严重的肺动脉高血压 (PAH) 和心力衰竭.
- 随访显示不需要PS切除,没有感染,并在治疗后改善了PAH.
结论:
- 通过导管评估和治疗PS在儿童中是安全和有效的.
- 大PS的新生儿从栓塞中显著受益,改善严重症状.
- PS栓塞与CHD修复相结合,使肺压力正常化.
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