透皮关闭持久性动脉管道:并发症率和长期随访,一个单中心的回顾性研究.
Ian Scott Kendall1,2, Gail Davison1, Neil Kennedy1,2
1Paediatric Cardiology Department, Royal Belfast Hospital for Sick Children, Belfast, United Kingdom.
CJC pediatric and congenital heart disease
|January 29, 2026
概括
在儿童中,通过皮肤关闭专利通道动脉 (PDA) 的主要并发症率为5.1%,通常在24小时内出现. 由于潜在的晚期阻塞,建议对接受ADO1设备的患者进行长期监测.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 穿皮关闭专利通道动脉 (PDA) 是一个常见的儿科手术.
- 在儿童心脏病学家长期跟踪中存在变化.
- 描述并发症和出院时间可以优化患者的护理.
研究的目的:
- 为了确定在儿童中通过皮肤PDA关闭后的并发症率.
- 评估在PDA关闭程序后释放的时间.
- 为了确定与术后并发症相关的因素.
主要方法:
- 对经过皮肤PDA关闭的儿科患者 (0-15岁) 的回顾性研究.
- 从2006年1月到2015年12月在一个单一中心收集的数据.
- 分析与手术相关的并发症类型,严重程度和时间.
主要成果:
- 在156名患者中,有12%的患者出现并发症;5.1%的患者有高度问题 (例如,设备栓塞,需要手术).
- 中度至轻度的并发症 (例如,流量加速) 发生在6.4%; 77%是立即明显的.
- 2%的人患有晚期轻度至中度的大动脉或LPA阻塞,特别是在较大的ADO1设备;年轻的年龄和较大的设备大小是危险因素.
结论:
- PDA阻塞有5.1%的重大并发症率,通常在24小时内出现.
- 使用ADO1设备治疗的少数人群 (2%) 患有晚期阻塞,因此需要继续监测.
- 对于接受ADO1设备的患者,特别是那些有较大的导管的患者,长期跟踪可能是谨慎的.
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