經(jīng)導(dǎo)管房間隔缺損介入封堵術(shù)及并發(fā)癥

1、1122005514J Inlenent Radbl 2005 bl 14 Suppl1122005514J Inlenent Radbl 2005 bl 14 Suppl11085(ASD),10(patent Bramen ovale , PFO)(conpsnital heart diseases CHD)0. 1 % 12%0.7(%)(%)(ASD)21.4%(VS)>30.0%（TOA）21.2%(AS)9.8%(VSD>15.5%(PDA)9.7%(PS)13.1 %(PS)6.9%(Fl F5)13.1 %(Gv>6.8%(AS)2.1 %(AS)6.1 %2

2、.2%(F4)0.8%0.2%(TGM4.2%(TOM0.7%2.2%(TA)0.3%(TA)1.3%10.2%16.5%459151(1) (2)(3)2()()x()(TIE:TEEICE):1O(J8531142005514J InlemnL Radbl 2005 bl 14. Sqpl1953 Rubio Alvarez1966 Rashkind Miler1966 R)i*stmann.Ivalon,1997Aiiplatzer,The Helex Septal Occluder(W.L Goreassociates ,Flagaff .AZ .USA) 199620009()(FD

3、A)(20 mm);()(ASD) (3. 8 mm);()(membraneous VSD);(muscularVSD);()()()(AS);(PS);(MS);(); -()(ASD + PS) (ASD +PDA) (ASD + VSD);9()FDAASD；VSD；()(atrial septal defect .ASD)21 % 26.1%,2 1 ,(301)14.48%1974KingJ 979Rashkind2090Sderis (Sderis),Bensen (Cardio-seal)1997Aiiiplatzer790,Aniplatz,85%()(1)()80 %1 4

4、 cm9(2)()999(3)*(4)999(5)()；x()()(LiMcinbacher)() ,1.20% 25 %1966 Fbstniann;< 20 mmASD 1987Lock Gamshell ()(Cardioseal,(TEE),ASD, 1990 Sderis1990(Sderis device).ASD1142005514J InlemnL Radbl 2005 bl 14. Sqpl1142005514J InlemnL Radbl 2005 bl 14. Sqpl.Aniplatzer () ,1142005514J InlemnL Radbl 2005 bl

5、 14. SqplASD;> 4 mn.38 mm;9*5 mm2.King;Rashkind (); ;Sidcris ();ASDOS; AngelWings(); Cardio-SEAL;Anplatzer ;(The Helex SeptalOccluder);30 mmASD;ASD,:；30mm1993Osypka1996Angel Wiis()Angel Wiiigs,1996(Anphtzer device),1997 Anplatzer()1142005514J InlemnL Radbl 2005 bl 14. Sqpl1142005514J InlemnL Radb

6、l 2005 bl 14. Sqpl1974 KngMiller1976KingMiller:23F.20 nunASD.2070RashkindAniplatzer device ()AmplatzerAniplatzerAniplatzer:1142005514J InlemnL Radbl 2005 bl 14. Sqpl1142005514J InlemnL Radbl 2005 bl 14. SqplASD;9910 ,9RashkindASD1983Rashkind13/20ASD()Lock(Rashkind);11F12kg()Rashkind(6 12F).Anplatzer

7、(AnplatzerAtrial Septal Occlucfer ASO)1.:4 40 mn 262005514J literwnl Raciol 2(X)5 Vd. 14 . Skppl1152.ASO:(1)()ASD;(2)29.4%&8%59%0438 mm;(3)6.:ASO,5 min1 %,:(1)；(4)號(hào)；(2) ,(TIA);(3)PR3(:pro,PFO);；(4) SASD3.ASD：(i)ASD;AmplatzerASD; SASD(ASD);(4)ASD(PDA)(VSD);(5)9(VSD); PR)99,3, 119(Anplatzer device

8、)94.99,6F 7FTEE1 IE,ASD,7F0.035260 cm(palent foramen ovale ,pro)9,TEE5 6ASD9912 nun999,TEE19ASD ,PR) PFO,PRDTEE22%38%,9PFO3:< 2 nunpro；9PR) ;23.9 nunPFO24 h 1 ,3,61(TTE),35% 40%,60BCG*PHD5.:(Sderis.Card iosealGamshellASDOSPFO,Angel Wingi),ASO99()13939,TIA995.6%915.ha91.26%,9& 91 %TIA1%()18 nm

9、100%,PHD34 nm.25 nni24 h J3PR)>5 mn,35 inn1162(X15514J Inlenert Radbl 2005 bl 14. S叩 1.AmplatzerPFO6,19力PFO2004105,1(X)0PFO Aiiiplatzer20015PHD32號(hào)30130 60PR),43971015913.4790:1 h.X82() minPFO412 nun ,32100%pro5mg kg 1 d 1O.25/d:98.1%,1.9%6(80/4397):0. 09 % (4/4397)Sderis)30 d5%) CardioSEAL10 % t

10、Amplatzer90 %185 %:98 %1.Sideris,3 d ,63(%),80 %,85 % 90%;CardioSEU.PFO)PFO3 d,6(%) ,88 % .90%95 %Amplatzer,3 d 6(%),90% .94 %97.5%:(1)15199&9,7.20009 98.1 %,1.9%,0. 09 % ,197720009(2)404008257,1421,12.1(10 d88 )47 kg(2.2137. 1 kg)358()202 ,Fbntan117,109:Qp/Qs 1 9(0. 312. 1)Anplatzer X-ray TTE TEE:ASD)TEE1930 nun (14mm),444 nun(+18 mm) Anplatzer4 38 mni (3)18 mm) 980 min (30 480nin) .X15 nin(9198 nin).97.3%94.9%(4)70Anplatzer2005514J Irtcrwnl Raciol 2(X)5 VcL 14.1172005514J Irtcrwnl Raciol 2(X)5 VcL 14.117(5)()Amplatzer350009(Eioaon)0. 1 %12h.3 d;2 >5 mg kg 1d，6;J24 h,l,3,6,1