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asbryobvrz · Wysłany: Śro 19:43, 23 Mar 2011

,[link widoczny dla zalogowanych]
Intervention analysis of 52 cases of congenital heart disease

Manometry and descending aorta left ventricular angiography, PDA in order to understand the shape, size and the presence of other concurrent abnormalities; and then right-heart catheterization is not closed by the ductus arteriosus into the aorta to the diaphragm below, and exchange of the hardening guide wire, sending delivery sheath to reach the descending aorta and then into the PDA occluder; first open your umbrella left PDA, PDA retracement of the transportation system to the narrowest, the whole open occluder. By examining the heart murmur,[link widoczny dla zalogowanych], cardiac X-ray imaging and re-descending aorta to determine the success of closure. VSD treatment in the first observation of VSD size,[link widoczny dla zalogowanych], shape, position and relationship with the surrounding anatomical structures,[link widoczny dla zalogowanych], combined with ultrasonography, select the appropriate occluder. Ventricular septal defect from the surface to find days and through the mouth of the defect on the pulmonary artery or noodles wire vena cava,[link widoczny dla zalogowanych], with swan-neck femoral vein sets of the noodles from the seam out of lead in vitro, the establishment of arteriovenous track. The release of the left ventricular surface of the umbrella in the left ventricle, retracement of the entire transportation system, when the left ventricular septal surface of the umbrella snapping, the release of the right ventricle side umbrella. Set of people and then left ventricular and aortic valve on the angiography and echocardiography confirmed closure device in good position, the level of unintentional room left to right shunt, aortic and tricuspid valve function was not affected, indicating that the block successfully, a confirmation After blocking the release of occluder satisfactory. Clinical evaluation of 1.3 PDA descending aortic imaging by observation, if the closure device or the location of the spring plugs proper, no or only trace residual shunt to good effect. ASD under the Doppler signal to determine left-right shunt, left to right shunt signal no good effect; diameter <1mm left to right shunt signal trace residual shunt; l ~ 2mm in diameter for the small amount of residual shunt. VSD closure of 36 foreign medical CHINAFOREIGNMEDICALTREATMENT blocking device placed under observation after left ventricular angiography, the effect is good; placement of proper occluder; no or only a small amount of micro-segregation; no significant aortic valve and atrioventricular valve regurgitation. 2 Results 2.1 Clinical PDA21 cases, the first success in 23 cases, the success rate of 100%; ASD19 cases, the first successful l7 cases, the second success in 2 cases, the success rate of l00%; VSDl1 cases, 10 cases of the first successful , the second successful one case, the success rate of l00%. 2.2 l cases of complications after VSD closure immediately successful implementation of a small amount of residual shunt, 3d residual shunt disappeared. l patients taking aspirin after VSD closure when hematuria, 5d to disappear after drug treatment. There was no death and no femoral arteriovenous fistula. Congenital heart disease is 3 to discuss serious harm to the health of a class of adult disease, its high mortality and morbidity. Traditional view that surgery is the preferred method of treatment, high success rate. But the surgery there is a larger trauma, anesthesia accidents, blood transfusion and infection. Past l0 years, with the intervention method and apparatus for the continuous development, and gradually widened the method of treatment of congenital heart disease, congenital heart disease has opened up new areas of intervention. II before the intervention by non-chest replacement, for most of the PDA, part of the ASI) and interventional treatment of patients with VSD is safe and effective treatment alternative to surgical repair. Our data show that for the conventional congenital heart disease VSD, ASP, PDA patients, indications for cell control intervention intervention under the circumstances, a book with the treatment of high trauma, rapid recovery, fewer complications, short-term and medium term efficacy and good. Intervention, we should note the following lessons: (1) the overall level of hospitals, mainly over the amount of rigorous training; (2) cath lab imaging equipment, interventional devices are available to ensure 【iI: interventional treatment.