通过导管关闭儿童复杂的心房 Septal 缺陷:一个单一中心的经验
1Division of Pediatric Cardiology, Department of Pediatrics, İzmir City Hospital, İzmir, Türkiye.
概括
过导管关闭是一种安全有效的治疗复杂的心房隔膜缺陷 (ASDs) 在儿童,甚至那些具有挑战性的解剖学. 在最近的一项研究中,这种最少的侵入性方法在最少的并发症下实现了完全的闭塞.
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
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 过导管心房隔膜缺陷 (ASD) 关闭是奥斯蒂亚第二层ASD的标准.
- 复杂的自闭症由于尺寸,轮缺陷或患者体重而带来挑战.
- 在复杂的儿科ASD中评估透导管闭合的疗效至关重要.
研究的目的:
- 评估过导管关闭在儿童复杂自闭症的安全性和有效性.
- 分析这个具有挑战性的患者群体的程序结果和并发症.
主要方法:
- 对15名儿科患者 (0-18岁) 进行过导管ASD关闭的回顾性单中心研究.
- 过程中使用了Occlutech Figulla Flex II ASD封闭器.
- 通过胸前和食道间心声学指导.
主要成果:
- 在所有患者中都实现了完全的闭塞.
- 两名患者 (13.3%) 发生过渡性并发症 (器件栓塞,心房早跳) 没有永久的后果.
- 在6个月的随访期间,没有观察到死亡率或残留分流.
结论:
- 复杂的ASD的透导管关闭在经验丰富的手中是安全有效的.
- 仔细的解剖评估和适当的设备选择是关键.
- 最少侵入性跨导管关闭是复杂的儿科ASD的可靠选择.
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