[Effects of transcatheter closure in children with congenital coronary artery fistula].

Q3 Medicine 中华心血管病杂志 Pub Date : 2006-06-01
Zhi-wei Zhang, Shu-shui Wang, Hui-shen Wang, Xin-ming Li, Xiang-qian Shen, Yu-fen Li, Yu-mei Xie, Ji-jun Shi
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引用次数: 0

Abstract

Objective: To observe the effects of transcatheter closure method for treating congenital coronary artery fistula (CAF) in children.

Methods: Twenty-three children with CAF received transcatheter closure. Under anesthesia, heart catheterization and selective coronary angiography were performed to show the CAF size and relationship with normal coronary artery. CAF with the narrowest inner diameter < 3 mm (n = 16) were occluded with coil device, and CAF with narrowest inner diameter > 3 mm (n = 7) were closed with Amplatzer duct or VSD occluder.

Results: Transcatheter closure was successfully performed in 21 cases and failed in 2 cases (CAF is too tortuous in one case and right CAF outlet near the right coronary artery main stem in another case) and CAF were closed by surgery in these 2 patients. No residual shunt or other complications were observed during the 3 months to 3 years follow up.

Conclusion: Transcatheter closure was an effective and mini-traumatic method for CAF treatment in children.

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[经导管封闭治疗先天性冠状动脉瘘的疗效]。
目的:观察经导管闭合术治疗儿童先天性冠状动脉瘘的疗效。方法:23例CAF患儿接受经导管闭合治疗。麻醉下行心导管穿刺和选择性冠状动脉造影,观察CAF大小及其与正常冠状动脉的关系。内径< 3mm的最窄CAF (n = 16)采用线圈装置闭塞,内径> 3mm的最窄CAF (n = 7)采用Amplatzer导管或VSD闭塞器闭塞。结果:21例经导管关闭成功,2例关闭失败(1例CAF过弯,1例右CAF出口靠近右冠状动脉主干),2例均行手术关闭CAF。随访3个月至3年未见分流残留及其他并发症。结论:经导管闭合是治疗儿童CAF的有效且创伤小的方法。
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来源期刊
中华心血管病杂志
中华心血管病杂志 Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.40
自引率
0.00%
发文量
10577
期刊介绍: The Chinese Journal of Cardiology , established in February 1973, is one of the major academic medical journals sponsored by the Chinese Medical Association and a leading periodical in the field of cardiology in China. It specializes in cardiology and related disciplines with a readership of more than 25 000. The journal publishes editorials and guidelines as well as important original articles on clinical and experimental investigations, reflecting achievements made in China and promoting academic communication between domestic and foreign cardiologists. The journal includes the following columns: Editorials, Strategies, Comments, Clinical Investigations, Experimental Investigations, Epidemiology and Prevention, Lectures, Comprehensive Reviews, Continuing Medical Education, etc.
期刊最新文献
[Diagnosis and treatment of acute myocardial infarction in young people: recommendations from experts]. [Evaluation of coronary and peripheral microvascular endothelial dysfunction in patients with heart failure with non-reduced ejection fraction]. [Impact of changes in cardiovascular and cerebrovascular diseases death spectrum on the gender gap in life expectancy among Tianjin residents from 2004 to 2020]. [Identification of advanced heart failure and timing of intervention]. [One case of acute Stanford B aortic dissection complicated with vagus right subclavian artery treated with integrated branching stent combined with periscope technique].
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