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find Author "刘冀东" 2 results
  • 介入封堵术治疗先天性心脏病82例

    目的 总结介入治疗先天性心脏病的临床经验,分析其疗效。 方法 2006年1月至2008年1月我院共施行介入封堵治疗82例常见先天性心脏病患者,男35例,女47例;年龄5~79岁,平均年龄20.3岁。其中继发孔型房间隔缺损(ASD)39例,缺损直径0.50~2.55 cm(1.60±0.55 cm);室间隔缺损(VSD)23例,缺损直径0.30~1.72 cm(1.05±0.33 cm);动脉导管未闭(PDA)20例,导管最窄处(腰部)直径0.40~1.10 cm(0.80±0.20 cm),均为管型。房间隔缺损封堵术及室间隔缺损封堵术均采用Amplatzer法,动脉导管未闭大部分采用Amplatzer法,仅1例采用Cook可控弹簧栓子法。出院后采用电话、信件、门诊方式进行随访。 结果 全部患者均无主要并发症发生,无死亡。封堵成功80例,其中房间隔缺损38例,室间隔缺损22例,动脉导管未闭20例。操作时间为55.0±18.5 min,住院天数为5.0±2.3 d,住院费用为39 880±5 830元。术后7 d、1个月、6个月、1年和2年时随访率分别为97.5%、91.2%、85.0%、73.8%和55.0%。 随访5~30个月无残余分流及严重心脏事件。彩色超声心动图提示:封堵器位置良好。 结论 充分评估病情,严格掌握适应证,经导管介入堵闭治疗先天性心脏病安全、可靠、成功率较高。

    Release date:2016-08-30 06:06 Export PDF Favorites Scan
  • "J. D" technique: A method for in situ fenestration of left subclavian artery in thoracic endovascular aortic repair

    ObjectiveTo report a simple and safe method for in situ fenestration of left subclavian artery in thoracic endovascular aortic repair (TEVAR).MethodsTwenty-eight patients received in situ fenestration of left subclavian artery in TEVAR from June 2018 to May 2019 in our center, including 23 males and 5 females at an average age of 57.7±9.6 years. Among them, 12 patients used adjustable sheath or guiding catheter (a group A) and 16 patients used "J. D"technique (a group B). The clinical efficacy of the two groups was compared.ResultsIn the group A, 1 patient failed to receive fenestration and was transferred to the chimney technique. In the group B, 1 patient due to the traction system shift during operation, was completed by traditional adjustable sheath puncture. The group B had shorter alignment-perforation time and trigger time and less complications. There was no significant difference in endoleak during short-term follow-up between the two groups.ConclusionThe "J. D" technique is simple, safe and easy to obtain materials. It effectively reduces the risk caused by difficult sheath alignment during the in situ fenestration of the left subclavian artery. Although the results of recent follow-up are not significantly different from traditional methods, it still needs to accumulate the cases to observe the possible risks and difficulties.

    Release date:2020-04-26 03:44 Export PDF Favorites Scan
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