摘要
目的评估经皮导管介入治疗肺动静脉瘘(PAVF)的临床效果及安全性。方法回顾性分析7例PAVF患者治疗方法,均行经皮导管介入治疗。根据术前右心导管及肺动脉造影结果选用弹簧圈栓塞或封堵器封堵治疗。结果 7例患者手术均获成功。其中1例植入弹簧圈3枚,1例植入6枚;3例各用PDA封堵器1枚,2例分别用VSD封堵器1枚;引入血管中位直径6 mm(3.9～63 mm)。术后48 h患者动脉血氧分压(PaO_2)、动脉血氧饱和度(SaO_2)均显著高于术前(P<0.05)。随访24～48个月,6例残余分流消失,1例有少量残余分流;NYHA分级均减轻,无手术相关并发症发生。结论经皮导管介入治疗PAVF安全有效。
Objective To evaluate the clinical efficacy and safety of percutaneous transcatheter interventional therapy in treating pulmonary arteriovenous fistula （PAVF）. Methods The clinical data of 7 patients with PAVF, who received percutaneous transcatheter interventional therapy, were retrospectively analyzed. According to the findings of preoperative right cardiac catheterization and pulmonary arteriography, embotization therapy with spring coils or occlusion therapy with oeeluder （VSD oceluder or domestic PDA occluder） was carried out. Results The operation was successfully accomplished in all 7 patients. A total of 9 spring coils were implanted in the 2 among the 7 patients, one PDA occluder was used in each one of 3 patients, and one VSD oecluder was employed in each one of 2 patients. The median diameter of the feeding artery was 6 mm （3.9-6.3 mm）. Both the arterial partial pressure of oxygen （PaO2） and the arterial oxygen saturation （SaO2） determined at 48 hours after embolization were significantly higher than preoperative ones （P〈O.05）. The patients were followed up for 24-48 months, disappearance of residual shunt was observed in 6 patients and a small amount of residual shunt was detected in one patient. NYHA grading was improved in all patients. No procedure-related complications occurred. Conclusion For the treatment of PAVF, percutaneous transeatheter interventioual therapy is safe and effective.
作者
宋秋韵
伍广伟
许能文
师洵
SONG Qiuyun;WU Guanswei;XU Nengwen;SHI Xun.(Department of Cardiology, People ＂s Hospital, Nanning, Guangxi Zhuang Autonomous Region 530021, China)
出处
《介入放射学杂志》
CSCD
北大核心
2018年第7期623-626,共4页
Journal of Interventional Radiology
基金
广西壮族自治区科技厅攻关项目(桂科攻14124004-1-6)
关键词
肺动静脉瘘
经皮导管介入治疗
肺动脉造影
pulmonary arteriovenous fistula
percutaneous transcatheter interventional therapy
pulmonary angiography
