Abstract: Objective To analyze clinical outcomes of interventional therapy for common congenital heart diseases (CHD). Methods We retrospectively analyzed the clinical records of 57 patients with CHD who underwent catheter interventional therapy in People’s Hospital of Deyang City between March 2009 and January 2012. There were 31 male patients and 26 female patients with their mean age of 29.4±3.5 years(ranging from 1.5 to 75.0 years). There were 21 patients with patent ductus arteriosus (PDA), 12 patients with ventricular septal defect (VSD), and 20 patients with atrial septal defect(ASD);and 2 patients with VSD plus ASD, 1 patient with VSD plus PDA, and 1 patient with ASD plus PDA. Occluder and supplying system made in China were used in the interventional therapy. For the patients with ASD plus PDA, PDA was blocked before ASD;for the patients with VSD plus PDA, PDA was blocked before VSD;and for the patients with VSD plus ASD, VSD was blocked before ASD. Results The duration of interventional therapy ranged from 30 to 90 minutes. The success rate of operation was 98.3%(56/57). Operation was given up in an old female patient with ASD and chronic obstructive pulmonary disease because of pulmonary hypertension. The hospital stay was 3 -7 days. All the patients were followed up at the outpatient department for 1 month to 2 years by color Doppler echocardiogram, chest X-ray and electrocardiograph, and no complication occurred during follow-up. Conclusion With complete understanding of surgical indications and strict compliance with procedures, catheter interventional therapy is safe, minimal invasive, and effective in CHD treatment.
Citation:
DIAO Mingqiang,SUN Xiaokang,XUE Yang,et al.. Interventional Therapy for 57 Patients with Congenital Heart Diseases. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(3): 266-269. doi:
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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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中华人民共和国国家统计局第六次人口普查报告(EB/OL). 2011-04-28.http://www. stats. gov. cn.
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2. |
Sadowski SL. Congenital cardiac disease in the newborn infant:past, present, and future. Crit Care Nurs Clin North Am, 2009, 21 (1):37-48, vi.
|
3. |
Rashkind WJ, Miller WW. Creation of an atrial septal defect without thoracotomy. A palliative approach to complete transposition of the great arteries. JAMA, 1966, 196 (11):991-992.
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4. |
李奋. 先天性心脏病介入治疗的新技术进展和展望. 上海交通大学学报:医学版, 2011, 31 (9):1231-1234.
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5. |
周爱卿, 蒋世良. 先天性心脏病经导管介入治疗指南. 中华儿科杂志, 2004, 42 (3):76-81.
|
6. |
Masura J, Walsh KP, Thanopoulous B, et al. Catheter closure of moderate-tolarge-size patent dctus arteriosus using the new Amplatzer duct occluder immediate and short-term results. J Am Coll Cardia, 1998, 31 (10):878.
|
7. |
Spies C, Timmermanns I, Schräder R. Transcatheter closure of secundum atrial septal defects in adults with the Amplatzer septal occluder:intermediate and long-term results. Clin Res Cardiol, 2007, 96 (6):340-346.
|
8. |
蒋世良. 我国先天性心脏病介入治疗的现状. 中国循环杂志, 2011, 26 (4):245-246.
|
9. |
Michel-Behnke I, Le TP, Waldecker B, et al. Percutaneous closure of congenital and acquired ventricular septal defects--considerations on selection of the occlusion device. J Interv Cardiol, 2005, 18 (2):89-99.
|
10. |
Arora R, Trehan V, Thakur AK, et al. Transcatheter closure of congenital muscular ventricular septal defect. J Interv Cardiol, 2004, 17 (2):109-115.
|
11. |
秦永文, 主编. 实用先天性心脏病介入治疗. 上海:上海科学技术出版社, 2005. 235-240.
|
12. |
李奋, 周爱卿, 高伟, 等. 经导管介入治疗复合型先天性心脏病八例分析. 中华心血管病杂志, 2003, 31 (5):17-19.
|
13. |
梁永梅, 韩玲, 金梅, 等. 先天性心脏病介入治疗与外科治疗炎症反应及心肌损伤比较研究. 中华儿科杂志, 2007, 45 (4):304-305.
|
14. |
李玲, 苏俊武, 金梅, 等. 外科手术治疗先天性心脏病介入封堵术后并发症-附10例分析. 心肺血管病杂志, 2011, 30 (3):187-190.
|
15. |
张南滨, 汪曾炜, 韩宏光, 等. 房间隔缺损与室间隔缺损介入治疗失败后外科手术疗效分析. 心肺血管病杂志, 2010, 29 (1):12-14.
|
16. |
刘君, 张密林, 王震, 等. 先天性心脏病介入治疗的并发症分析及其防治. 中国循环杂志, 2009, 24 (4):281-284.
|
17. |
Chessa M, Butera G, Negura D, et al. Transcatheter closure of congenital ventricular septal defects in adult:mid-term results and complications. Int J Cardiol, 2009, 133 (1):70-73.
|
18. |
Yang J, Yang L, Wan Y, et al. Transcatheter device closure of perimembranous ventricular septal defects:mid-term outcomes. Eur Heart J, 2010, 31 (18):2238-2245.
|
19. |
Holzer R, de Giovanni J, Walsh KP, et al. Transcatheter closure of perimembranous ventricular septal defects using the amplatzer membranous VSD occluder:immediate and midterm results of an international registry. Catheter Cardiovasc Interv, 2006, 68 (4):620-628.
|
20. |
何美娜, 伍伟锋. 先天性心脏病介入治疗远期并发症评价. 心血管病学进展, 2010, 31 (5):655-658.
|
21. |
张晓军, 张新荣, 唐文伟, 等. 心血管造影及超声检查在小儿先天性心脏病介入治疗中的联合应用研究. 介入放射学杂志, 2010, 19 (3):177-180.
|
22. |
中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识一, 房间隔缺损介入治疗. 介入放射学杂志, 2011, 20 (1):3-9.
|
23. |
中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识二, 室间隔缺损介入治疗. 介入放射学杂志, 2011, 20 (1):87-92.
|
24. |
中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识三, 动脉导管未闭的介入治疗. 介入放射学杂志, 2011, 20 (3):172-176.
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- 1. 中华人民共和国国家统计局第六次人口普查报告(EB/OL). 2011-04-28.http://www. stats. gov. cn.
- 2. Sadowski SL. Congenital cardiac disease in the newborn infant:past, present, and future. Crit Care Nurs Clin North Am, 2009, 21 (1):37-48, vi.
- 3. Rashkind WJ, Miller WW. Creation of an atrial septal defect without thoracotomy. A palliative approach to complete transposition of the great arteries. JAMA, 1966, 196 (11):991-992.
- 4. 李奋. 先天性心脏病介入治疗的新技术进展和展望. 上海交通大学学报:医学版, 2011, 31 (9):1231-1234.
- 5. 周爱卿, 蒋世良. 先天性心脏病经导管介入治疗指南. 中华儿科杂志, 2004, 42 (3):76-81.
- 6. Masura J, Walsh KP, Thanopoulous B, et al. Catheter closure of moderate-tolarge-size patent dctus arteriosus using the new Amplatzer duct occluder immediate and short-term results. J Am Coll Cardia, 1998, 31 (10):878.
- 7. Spies C, Timmermanns I, Schräder R. Transcatheter closure of secundum atrial septal defects in adults with the Amplatzer septal occluder:intermediate and long-term results. Clin Res Cardiol, 2007, 96 (6):340-346.
- 8. 蒋世良. 我国先天性心脏病介入治疗的现状. 中国循环杂志, 2011, 26 (4):245-246.
- 9. Michel-Behnke I, Le TP, Waldecker B, et al. Percutaneous closure of congenital and acquired ventricular septal defects--considerations on selection of the occlusion device. J Interv Cardiol, 2005, 18 (2):89-99.
- 10. Arora R, Trehan V, Thakur AK, et al. Transcatheter closure of congenital muscular ventricular septal defect. J Interv Cardiol, 2004, 17 (2):109-115.
- 11. 秦永文, 主编. 实用先天性心脏病介入治疗. 上海:上海科学技术出版社, 2005. 235-240.
- 12. 李奋, 周爱卿, 高伟, 等. 经导管介入治疗复合型先天性心脏病八例分析. 中华心血管病杂志, 2003, 31 (5):17-19.
- 13. 梁永梅, 韩玲, 金梅, 等. 先天性心脏病介入治疗与外科治疗炎症反应及心肌损伤比较研究. 中华儿科杂志, 2007, 45 (4):304-305.
- 14. 李玲, 苏俊武, 金梅, 等. 外科手术治疗先天性心脏病介入封堵术后并发症-附10例分析. 心肺血管病杂志, 2011, 30 (3):187-190.
- 15. 张南滨, 汪曾炜, 韩宏光, 等. 房间隔缺损与室间隔缺损介入治疗失败后外科手术疗效分析. 心肺血管病杂志, 2010, 29 (1):12-14.
- 16. 刘君, 张密林, 王震, 等. 先天性心脏病介入治疗的并发症分析及其防治. 中国循环杂志, 2009, 24 (4):281-284.
- 17. Chessa M, Butera G, Negura D, et al. Transcatheter closure of congenital ventricular septal defects in adult:mid-term results and complications. Int J Cardiol, 2009, 133 (1):70-73.
- 18. Yang J, Yang L, Wan Y, et al. Transcatheter device closure of perimembranous ventricular septal defects:mid-term outcomes. Eur Heart J, 2010, 31 (18):2238-2245.
- 19. Holzer R, de Giovanni J, Walsh KP, et al. Transcatheter closure of perimembranous ventricular septal defects using the amplatzer membranous VSD occluder:immediate and midterm results of an international registry. Catheter Cardiovasc Interv, 2006, 68 (4):620-628.
- 20. 何美娜, 伍伟锋. 先天性心脏病介入治疗远期并发症评价. 心血管病学进展, 2010, 31 (5):655-658.
- 21. 张晓军, 张新荣, 唐文伟, 等. 心血管造影及超声检查在小儿先天性心脏病介入治疗中的联合应用研究. 介入放射学杂志, 2010, 19 (3):177-180.
- 22. 中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识一, 房间隔缺损介入治疗. 介入放射学杂志, 2011, 20 (1):3-9.
- 23. 中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识二, 室间隔缺损介入治疗. 介入放射学杂志, 2011, 20 (1):87-92.
- 24. 中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识三, 动脉导管未闭的介入治疗. 介入放射学杂志, 2011, 20 (3):172-176.