Akio Kato, Masataka Kitano, Atsuya Shimabukuro, Seiichi Sato
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引用次数: 0
摘要
股动脉(FA)闭塞是导管介入术后常见的不良事件,尤其是在新生儿和婴儿中。目前有几种治疗 FA 闭塞的方法,但最佳方法仍然未知。在此,我们报告了三例导管介入术后发生 FA 闭塞的婴儿病例,他们都成功地接受了经导管血运重建治疗。病例 1 是一名 1 个月大的肺动脉瓣狭窄男孩,他接受了经皮腔内肺动脉瓣成形术。病例 2 是一名患有动脉导管未闭的 5 个月大男孩,他在心内修复术后接受了经皮腔内血管成形术治疗肺动脉狭窄。病例 3 是一名 3 个月大的男孩,患有肺动脉闭锁和完整的室间隔,因双侧肺动脉带部位狭窄而接受了经皮腔内血管成形术。这三个病例均在介入治疗后 1 天内发现 FA 闭塞,并在介入治疗后 4 天内通过经导管血管成形术成功再通。经导管血管重建术可作为导管手术后FA闭塞的潜在治疗方案。
Successful Percutaneous Revascularization for Femoral Artery Occlusion After Catheter Intervention: Serial Case Report
Femoral artery (FA) occlusion is a prevalent adverse event after catheter interventions, particularly in neonates and infants. Several treatments are available for FA occlusion, but the optimal approach remains unknown. Herein, we report three cases of infants with FA occlusion after catheter interventions, which were successfully treated by transcatheter revascularization. Case 1 is a 1-month-old boy with pulmonary valve stenosis who was treated with percutaneous transluminal pulmonary valvuloplasty. Case 2 is a 5-month-old boy with truncus arteriosus who underwent percutaneous transluminal angioplasty for pulmonary artery stenosis after intracardiac repair. Case 3 is a 3-month-old boy with pulmonary atresia and an intact ventricular septum treated with transluminal angioplasty for bilateral pulmonary artery banding site stenosis. All three cases were detected for FA occlusion within 1 day after the intervention and successfully recanalized by transcatheter angioplasty within four days after the intervention. Transcatheter revascularization can be used as potential treatment option for FA occlusion after the catheter procedure.