| 张琦,赵宝珍,翁三川,孙秀英.房间隔缺损经导管闭合术中超声心动图的监测价值[J].中国医学影像技术,2001,17(2):155~156 |
| 房间隔缺损经导管闭合术中超声心动图的监测价值 |
| Application Value of Echocardiography in Transcatheter Closure of Atrial Septal Defect |
| 投稿时间：2000-07-10 |
| DOI： |
| 中文关键词: 房间隔缺损 心脏导管插入术 超声心动图 |
| 英文关键词:Atrial septal defect Cardiac catheterization Echocardiography |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨超声心动图在房间隔缺损(ASD)经导管闭合术中的监测作用。方法 经导管ASD闭合术患者20例,术前、术中、术后进行经胸或/和经食道超声心动图检查。结果 20例患者ASD均为单发继发孔型,超声测量房缺直径为22.3±8.1mm,术中伸展直径为25.2±8.1mm,选择Amplatzer封堵器型号10~36mm。术后即刻观察:房缺完全闭合无残余分流者12例,少许残余分流者8例;5例6个月后残余分流消失,2例10个月后消失。结论 经导管ASD闭合术中超声心动图的应用对于封堵器型号的选择及术后疗效评价等均有较大的价值。 |
| 英文摘要: |
| Objective To evaluate the application value of echocardiography in transcatheter closure of atrial septal defect (ASD). Methods Twenty patients were treated by transcatheter closure of ASD. All patient were detected by thansthoracic and/or transesophegeal echocardiography (TTE and/or TEE) before,during and after operation. Results All 20 patients suffered from secundum ASDs. The mean diameter of ASD was 22.3±8.7mm and the mean stretched diameter of ASD was 25.2±8.1mm shown by echo. The Amplatzer size ranged from 10~36mm. ASD was occluded completely without residual shunt in 12 cases and small residual shunt were found in 8 cases immediately after procedure. The residual shunt had disappeared in 5 cases at 6-month follow-up and 2 cases at 10-month follow-up. Conclusion Echocardiography application in transcatheter closure of ASD has an important value in the selection of occlusion device type and guidance of device replacing and follow-up. |
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