摘要
目的评价体肺侧支血管栓塞术在紫绀属复杂先天性心脏病治疗中的价值。方法对在我院进行体肺侧支血管栓塞联合外科手术治疗的７例有丰富体肺侧支形成的紫绀属先天性心脏病患者进行研究。６例为肺动脉闭锁合并室间隔缺损，１例为重型Ｆａｌｏｔ四联症。体肺侧支血管共２２支，应用Ｃｏｏｋ公司的弹簧栓子对其中的１９支（８６％）进行栓塞，共用弹簧栓子４５枚。栓塞完毕后立即送外科行手术治疗。结果１９支体肺侧支血管均栓塞成功，其中１５支（７９％）栓塞完全，４支（２１％）部分栓塞。７例患者行外科手术体外循环中血压易于保持稳定，术后５例顺利痊愈出院，１例术后发生低心排血量综合征，经药物治疗痊愈，１例死于呼吸循环衰竭。结论伴有丰富体肺侧支形成的紫绀属先天性心脏病复杂畸形近９０％的体肺侧支血管可应用弹簧栓子在外科手术前进行栓塞，该方法可降低体外循环的难度，并使外科手术的过程简化。
Purpose To evaluate the efficiency of transcatheter occlusion of aortopulmonary collateral vessels in patients with cyanotic congenital heart disease. Methods Coil embolization to occlude aortopulmonary collateral vessels was attempted in 7 patients with cyanotic congenital heart disease. The underlying disease were pulmonary atresia with ventricular septal defect in 6 patients and severe tetralogy of Fallot in 1. Coil embolization was performed before corrective surgery in all patients. There were 22 vessels and 45 spring coils were used to embolize 19 vessels (86%). All patients received corrective surgery immediately after the procedure. ResultsNineteen vessels were embolized successfully. Among them occlusion was complete in 15 (79%) and partial in 4 (21%). During the corrective surgery, the systemic pressure was kept stable easily. After surgery, 5 patients recovered and were discharged uneventfully, 1 patient developed congestive heart failure with low cardiac output and recovered after medical therapy, and 1 patient died. Conclusion The results demonstrate that coil embolization to occlude collateral vessels could reduce the difficulty of extracorporeal circulation during surgery and simplify the corrective surgery procedure.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1998年第8期519-521,共3页
Chinese Journal of Radiology
关键词
先天性心脏病
外科手术
侧支循环
血管栓塞术
Heart defects, congenital Collateral circulation Embolization, therapeutic
