nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2011, 01, v.20 3-9
常见先天性心脏病介入治疗中国专家共识 一、房间隔缺损介入治疗
基金项目(Foundation):
邮箱(Email):
DOI:
摘要:

房间隔缺损(ASD)约占先天性心脏病的10%,多见于成人女性。绝大多数ASD能够采用介入治疗的方法得到治愈。超声心动图能够明确诊断,准确测量缺损的位置和大小。本文系统介绍ASD介入治疗的适应证、禁忌证、操作方法、封堵器选择与并发症防治。对合并肺动脉高压,多孔型,房间隔膨出瘤型及边缘不好等特殊情况下ASD的处理均进行详细的论述。

Abstract:

Atrial septal defect(ASD),a congenital heart disease more commonly recognized in female adults,accounts for 10% of all congenital heart diseases.Echocardiographic study can accurately provide the precise information about the size and location of the defect in detail.Most ASDs can be cured by transcatheter device closure.In this chapter,the indications,contraindications,procedures and device sizing for ASDs of interventional management will be systemically described,meanwhile,the complications caused by device occlusion and their preventions will also be discussed.The treatment for ASD patients accompanied with pulmonary arterial hypertension,multiple-orifice defects,aneurysmatic defects or defects with poor edge will be involved in this chapter.

参考文献

[1]中华儿科杂志编辑委员会,中华医学杂志英文版编辑委员会.先天性心脏病经导管介入治疗指南[J].中华儿科杂志,2004,42:234-239.

[2]朱鲜阳,陈火元.房间隔缺损介入治疗现状与未来[J].心血管病学进展,2008,29:343-346.

[3]Jones TK,Latson LA,Zahn E,et al.Results of the U.S.multicenter pivotal study of the HELEX septal occluder forpercautaneous closure of secundum atrial septal defects[J].JAm Coll Cardiol,2007,49:2215-2221.

[4]Jux C,Bertram H,Wohlsein P,et al.Interventional atrial septaldefect closure using a totally bioresorbable occluder matrix:development and preclinical evaluation of the BioSTAR device[J].J Am Coll Cardiol,2006,48:161-169.

[5]de Lezo JS,Medina A,Romero M,et al.Effectiveness ofpercutaneous device occlusion for atrial septal defect in adultpatients with pulmonary hypertension[J].Am Heart J,2002,144:887-880.

[6]Holzer R,Cao QL,Hijazi ZM,et al.Closure of a moderatelylarge atrial septal defect with a self-fabricated fenestratedAmpatzer septal occluder in an 85-year-old patient with reduceddiastolic elasticity of the left ventricle[J].Cath CardiovascInterv,2005,64:513-518.

[7]Patel A,Lopez K,Banerjee A,et al.Transcatheter closure ofatrial septal defects in adults>or=40 years of age:immediateand follow-up results[J].J Interv Cardiol,2007,20:82-88.

[8]Elshershari H,Cao Q-L,Hijazi ZM.Transcatheter deviceclosure of atrial septal defects in patients older than 60 years ofage:immediate and follow-up results[J].J Invasive Cardiol,2008,20:173-176.

[9]朱鲜阳,张端珍.结构性心脏病介入治疗现状分析[J].中华心血管病杂志,2008,36:608-612.

[10]Chessa M,Carminati M,Butera G,et al.Early and latecomplications associated with transcatheter occlusion ofsecundum atrial septal defect[J].J Am Coll Cardiol,2002,39:1061-1065.

[11]Bartel T,Bonatti JO,Müller S.Device dislocation,probably dueto paroxysmal coughing early after percutaneous closure ofsecundum type atrial septal defect[J].Am J Cardiol,2008,101:548-549.

[12]Oliver JM,Gallego P,Gonzalez A,et al.Predisposing conditionsfor atrial fibrillation in atrial septal defect with and withoutoperative closure[J].Am J Cardiol,2002,89:39-43.

[13]Hessling G,Hyca S,Brockmeier K,et al.Cardiac dysrhythmiasin pediatric patients before and 1 year after transcatheter closureof atrial septal defects using the amplatzer septal occluder[J].Pediatr Cardiol,2003,24:259-262.

[14]Chun DS,Turrentine MW,Moustapha A,et al.Development ofaorta-to-right atrial fistula following closure of secundum atrialseptal defect using the Amplatzer septal occluder[J].CatheterCardiovasc Interv,2003,58:246-251.

[15]Slesnick TC,Nugent AW,Fraser CD Jr,et al.Images incardiovascular medicine.Incomplete endothelialization and latedevelopment of acute bacterial endocarditis after implantation ofan Amplatzer septal occluder device[J].Circulation,2008,117:e326-e327.

基本信息:

中图分类号:R541.1

引用信息:

[1]朱鲜阳.常见先天性心脏病介入治疗中国专家共识 一、房间隔缺损介入治疗[J].介入放射学杂志,2011,20(01):3-9.

发布时间:

2011-01-30

出版时间:

2011-01-30

检 索 高级检索

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文