Objective To explore the safety and efficacy of transesophageal echocardiography (TEE)-guided percutaneous intervention for patent ductus arteriosus (PDA) in obese teenagers.Methods From January 2018 to June 2019, 21 obese teenagers with PDA treated with femoral artery occlusion guided by TEE in the Department of Cardiac Surgery, Dalian Children's Hospital of Dalian Medical University were included in this study, including 13 males and 8 females aged 12.8-17.3 (15.1±1.7) years, with an average weight of 51.0-89.0 (73.4±10.1) kg. The operative effect was evaluated. Results All patients successfully received the surgery, and none was changed to radiation-guided or thoracotomy ligation. The average operating time was 23.9±6.8 min, the average postoperative hospitalization time was 3.8±0.6 d. No peripheral vascular injury, intracardiac infection or pericardial effusion occurred. The mean follow-up time was 19.5±4.9 months, and the results of all reexaminations were good.Conclusion For some PDA children with obesity, emphysema or thoracic malformation, it is difficult to block PDA by transthoracic ultrasound-guided percutaneous intervention, and TEE can avoid the interference of chest wall and lung qi, or other factors. It is an effective supplementary guidance method worthy of promotion.
Citation：
WANG Ning, WEN Ping, LIU Yuhang, GAO Minglei, LIU Dawei, GUO Wenbin, LI Hongxin. Efficacy of percutaneous intervention for patent ductus arteriosus guided by transesophageal echocardiography in obese teenagers. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(5): 521-524. doi: 10.7507/1007-4848.201909001
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Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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- 1. 赵烨, 王宁, 文平, 等. 经胸超声心动图引导下经皮介入治疗儿童心脏复合畸形的安全性和有效性. 中华心血管病杂志, 2018, 46(10): 804-809.
- 2. 张冲, 何飞, 李迎, 等. 胸骨下小切口经心尖封堵小儿动脉导管未闭. 中国微创外科杂志, 2019, 19(3): 263-266.
- 3. 孟红, 逢坤静, 王燕, 等. 单纯依赖超声心动图引导并监测动脉导管未闭经皮介入治疗的应用. 中国超声医学杂志, 2017, 33(2): 104-106.
- 4. 邹孟轩, 欧阳文斌, 温彬, 等. 超声心动图引导下行经皮动脉导管未闭封堵术的临床研究. 中国胸心血管外科临床杂志, 2018, 25(7): 550-554.
- 5. 欧阳文斌, 张凤文, 郭改丽, 等. 单纯超声引导下经皮诱导血栓形成术治疗细小动脉导管未闭. 中华实用儿科临床杂志, 2017, 32(13): 990-992.
- 6. 朱全伟, 王宁, 高明磊, 等. 经胸超声心动图引导可调弯鞘右侧颈内静脉途径封堵小儿房间隔缺损. 中国微创外科杂志, 2019, 19(10): 878-881.
- 7. 卢绪宁, 文平, 刘启龙, 等. 单纯食管超声经股静脉行动脉导管未闭封堵术的安全性和有效性. 中华实用儿科临床杂志, 2017, 32(1): 41-43.
- 8. 刘宇航, 王宁, 赵烨, 等. 经胸微创介入术治疗小儿先天性心脏病复合畸形的疗效. 中华实用儿科临床杂志, 2018, 33(13): 1018-1021.
- 9. Pan XB, Ouyang WB, Wang SZ, et al. Transthoracic echocardiography-guided percutaneous patent ductus arteriosus occlusion: a new strategy for interventional treatment. Echocardiography, 2016, 33(7): 1040-1045.
- 10. 杨慧霞. 单纯超声引导下经皮封堵治疗先天性心脏病的临床分析. 医学理论与实践, 2018, 31(13): 1924-1925.
- 11. Krishnamoorthy KM, Sasikumar D, Bijulal S. Letter to the editor and response: percutaneous closure of atrial septal defects under transthoracic echocardiography without fluoroscopy. J Interv Cardiol, 2016, 29(4): 439-440.
- 12. 许飞, 黄科. 经食管超声心动图在儿童患者手术中的应用研究进展. 中国胸心血管外科临床杂志, 2016, 23(8): 837-840.
