经导管用蘑菇单盘封堵器治疗动脉导管未闭

Transcatheter closure of patent ductus arteriosus using amplatzer duct device

  • 摘要: 目的: 评价经导管用蘑菇单盘封堵器封堵动脉导管未闭(PDA)的即刻和短期疗效。方法: 自1998年6月~ 1999年10月,32例PDA患者,其中2例为PDA结扎术后再通。结果: 主动脉弓降部造影显示PDA属KrichenkoA型28例,C型及E型各2例,PDA最窄处直径1.5~ 8mm,平均直径(4.0± 1.3) mm。正常肺动脉压6例,轻度肺动脉压增高23例,中度增高3例。全组病例封堵器均放置成功,无并发症发生。结论: 应用蘑菇单盘封堵器封堵直径达8mm的PDA是安全、有效的非外科手术方法。

     

    Abstract: Objective: To evaluate the immediate and short term results of transcatheter closure of patent ductus arteriosus (PDA) using Amplatzer duct device. Methods: From June 1998 to October 1999, 32 patients with PDA were closured by transcatheter with Amplatzer duct device. Two of them had previous surgical ligation with clinically evident recanalization. Results: According to the classification adopted by Krichenko 28 patients had PDA of type A, 2 of type C and 2 of type E. The mean PDA diameter at its narrowest segment was 4.0±1.3 mm (ranged from 1.5 to 8.0 )mm. 6 patients had normal pulmonary pressure. slight pulmonary pressure for 23 patients, moderate pulmonary pressure for 3 patients. The device was successfully placed in the PDA in all patients. No other complications were found. Conclusion: Transcatheter closure of PDA is a safe and effective nonsurgical method in the closure of PDA with 2 mm diameter up to 8 mm(3/32 cases)using Amplatzer duct device.

     

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