对复杂自闭症的鼓励方法:一个多中心研究
Rasit Aktas1, Nazmi Narin2, Kaan Yildiz3
1Department of Pediatric Cardiology, Health Sciences University Izmir Tepecik Education And Research Hospital, Izmir, TR 35020, Turkey. rasitaktas1989@outlook.com.
Pediatric cardiology
|November 21, 2025
概括
复杂心房隔膜缺陷 (ASD) 的透导管关闭是有效和安全的,即使在具有挑战性的情况下,如大缺陷或边缘缺陷. 这种微创方法在经验丰富的中心中取得了很高的成功率,并没有太多并发症.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 穿皮关闭是心房隔膜缺陷 (ASD) 的常见情况.
- 复杂的ASD (大缺陷,边缘问题,动脉瘤,多窗体,年轻年龄/体重) 可能更喜欢手术.
- 复杂的ASD对过导管闭合提出了独特的挑战.
研究的目的:
- 评估复杂ASDs的跨导管闭合的安全性和有效性.
- 在具有具有挑战性的解剖特征的队列中评估成功率和并发症率.
主要方法:
- 对51名患有复杂ASD的患者进行过导管关闭的回顾性分析 (2021年1月至2024年8月).
- 收集的数据包括患者人口统计,缺陷特征 (大小,边缘,隔膜) 和程序结果.
- 复杂性包括多孔/多个缺陷,动脉瘤隔膜,年轻,大缺陷和各种边缘缺陷.
主要成果:
- 该研究包括51名患有多种复杂ASD特征的患者.
- 发生了两次设备栓塞;否则,没有报告任何并发症.
- 过导管关闭的整体成功率为96.08%.
结论:
- 过导管关闭是复杂的ASD的安全有效选择.
- 经验丰富的中心可以实现低并发症率和高成功率.
- 至少侵入性关闭是可行的,即使具有具有挑战性的解剖变异.
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