摘要
目的评价小儿冠状动脉瘘的介入治疗效果。方法 13例患有先天性冠状动脉瘘的儿童(男性7例,年龄3～10岁),均于2005至2008年期间接受介入治疗。术前造影显示,冠状动脉瘘起自右冠状动脉、左前降支及左回旋支分别为8例、4例及1例;引流入右房、右室及左室分别为9例、3例及1例,且均为单一瘘口。13例患儿均接受介入治疗。结果在介入治疗的过程中,4例患儿选择Cook弹簧钢圈,9例选择PDA封堵器。术后重复造影显示,12例(92.3%)患儿达到完全封堵的效果,1例(7.7%)患儿可见少量残余分流。13例患儿介入治疗操作均获成功,技术成功率为100%。术后短期随访显示原有心内分流均消失,无残余瘘及瘘口再通等情况出现。结论应用Cook弹簧钢圈及PDA封堵器治疗冠状动脉瘘是一种安全及有效的方法,其近期疗效满意。
Objectives To evaluate the therapentic effect of transcatheter closure of coronary artery fistula in 13 children.Methods Thirteen patients（aged 3-10 years;7 males）with CAF underwent percutaneous transcatheter closure between October 2005 and April 2008.The location the origins of these fistulas were：right coronary artery in 8 patients（61.5%）,left anterior descending coronary artery in 4 patients（30.8%）,and left circumflex coronary artery in 1 patient（10%）.Drainage site of these fistulas were：right atrium in 7 patients（70%）,right ventricle in 2 patients（20%）and left ventricle in 1 patient（7.7%）respectively.All of these fistulas were congenital and have only one orificium fistulae.Results Two kinds of occlusion devices were used to close these fistulae including：Cook coils in 4 patients and PDA occluder in 9 patients.Post-procedural angiography revealed complete occlusion in 12 patients（92.3%）and limited residual flow in 1 patient（7.7%）.Short term follow-up showed complete closure in all patients with no evidence of recanalization and recurrence of shunt.Conclusion Transcatheter therapy using either Cook coil or AGA PDA occluder is suggested to be a safe and effective method of occlusion.The short-term outcome of the intervention for CAF is satisfactory.
出处
《中国介入心脏病学杂志》
2010年第4期195-199,共5页
Chinese Journal of Interventional Cardiology
