经导管封堵术治疗卵圆孔未闭合并隐匿性卒中或短暂性缺血发作的近中期疗效观察
发布时间：2018-11-17 21:19
【摘要】：目的:探讨经导管封堵术治疗卵圆孔未闭(PFO)合并隐匿性卒中或短暂性缺血发作的近中期疗效。方法:随访2009-05至2015-12期间在阜外医院成功实施经导管PFO封堵术的PFO合并隐匿性卒中、短暂性缺血发作56例,并于术后24h、1个月、3个月、6个月复查经胸超声心动图、心电图、X线胸片,随后每隔6个月行电话随访。结果:56例患者中合并隐匿性卒中54例,合并短暂性缺血发作2例,53例(94.6%)使用北京华医圣杰公司PFO封堵器,术后应用阿司匹林6个月,平均随访(34.67±23.24)个月,所有患者术后均无卒中、短暂性缺血发作病史,术后均未见残余分流。结论:经导管PFO封堵术治疗PFO合并隐匿性卒中或短暂性脑缺血发作近中期疗效满意,仍需要进一步长期大规模随访。
[Abstract]:Objective: to evaluate the efficacy of transcatheter closure in the treatment of (PFO) with occult stroke or transient ischemic attack in patients with patent foramen ovale. Methods: from 2009-05 to 2015-12, 56 cases of PFO complicated with occult stroke were successfully treated with transcatheter PFO closure in Fuwei Hospital. Transthoracic echocardiography was performed 24 hours, 1 month, 3 months and 6 months after operation. Electrocardiogram, X-ray chest radiographs were followed up by telephone every 6 months. Results: among the 56 patients, 54 cases were complicated with occult stroke, 2 cases were complicated with transient ischemic attack, 53 cases (94.6%) were treated with PFO occluder in Beijing Huayi Shengjie Company, and aspirin was used for 6 months after operation. The mean follow-up was (34.67 卤23.24) months. No stroke, no residual shunt was found in all patients. Conclusion: transcatheter closure of PFO is satisfactory in the treatment of PFO with occult stroke or transient ischemic attack.
【作者单位】： 北京协和医学院中国医学科学院国家心血管病中心阜外医院放射科;北京协和医学院中国医学科学院国家心血管病中心阜外医院心外科;
【分类号】：R743.3
，
本文编号：2339068
[Abstract]:Objective: to evaluate the efficacy of transcatheter closure in the treatment of (PFO) with occult stroke or transient ischemic attack in patients with patent foramen ovale. Methods: from 2009-05 to 2015-12, 56 cases of PFO complicated with occult stroke were successfully treated with transcatheter PFO closure in Fuwei Hospital. Transthoracic echocardiography was performed 24 hours, 1 month, 3 months and 6 months after operation. Electrocardiogram, X-ray chest radiographs were followed up by telephone every 6 months. Results: among the 56 patients, 54 cases were complicated with occult stroke, 2 cases were complicated with transient ischemic attack, 53 cases (94.6%) were treated with PFO occluder in Beijing Huayi Shengjie Company, and aspirin was used for 6 months after operation. The mean follow-up was (34.67 卤23.24) months. No stroke, no residual shunt was found in all patients. Conclusion: transcatheter closure of PFO is satisfactory in the treatment of PFO with occult stroke or transient ischemic attack.
【作者单位】： 北京协和医学院中国医学科学院国家心血管病中心阜外医院放射科;北京协和医学院中国医学科学院国家心血管病中心阜外医院心外科;
【分类号】：R743.3
，
本文编号：2339068
本文链接：https://www.wllwen.com/yixuelunwen/shenjingyixue/2339068.html
最近更新
教材专著
