超声心动图在介入治疗筛孔样房间隔缺损术中的应用

发布时间：2018-04-13 17:37

本文选题：超声心动图 + 筛孔样　；参考：《中国超声医学杂志》2015年06期

【摘要】：目的评价超声心动图在心导管介入筛孔样房间隔缺损术中的应用价值。方法 27例筛孔样继发孔房间隔缺损患儿在我中心接受心导管介入封堵手术,术中建立输送轨道后,应用超声心动图判断输送轨道是否跨越目的缺损孔,引导释放封堵器。结果 26例患儿封闭成功,超声心动图准确引导确定输送轨道的建立,术后检查提示2例残余分流,封堵器塑形状态满意。1例封堵后发生高度房室传导阻滞,转为常规体外循环手术,取出封堵器,20h回复正常自主窦性心律。结论超声心动图对于经皮心导管介入封堵筛孔样继发孔房间隔缺损输送轨道的建立和封堵器的选择具有非常重要的价值,是此类手术成功的重要保障。
[Abstract]:Objective to evaluate the value of echocardiography in the operation of interventional ethmoidal atrial septal defect (ASD).Methods 27 children with atrial septal defect of ethmoidal foramen were treated with interventional closure with cardiac catheterization in our center. After establishing the transport track during the operation, echocardiography was used to determine whether the transmission track crossed the destination defect hole and to guide the release occluder.Results 26 cases were successfully closed, echocardiography was used to accurately guide the establishment of transport track, postoperative examination showed that 2 cases had residual shunt, and 1 cases had high atrioventricular block after occlusion in satisfactory state of occluder.The occluder was removed and returned to normal autonomic sinus rhythm for 20 h after conventional cardiopulmonary bypass (CPB).Conclusion Echocardiography is of great value for the establishment of transcatheter transcatheter closure of ethmoidal secondary atrial septal defect (ASD) and the selection of occluder, which is an important guarantee for the success of this kind of operation.
【作者单位】：青岛市妇女儿童医院心脏中心;
【基金】：青岛市医疗卫生优秀人才培养项目资助[No.青卫科教字(2014)2]
【分类号】：R540.45;R725.4

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