经皮小儿耳间交通封闭术:约24例

G. Bennani, B.E.N.N.A. Amri
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引用次数: 0

摘要

在满足推荐标准、解剖学和血流动力学的前提下,经皮介入房间隔缺损修补术是目前公认的首选技术。目的评价该技术的有效性和安全性。方法对伊本罗得德医院心内科24例经皮导管介入治疗CIA获益的患者进行回顾性研究。结果/预期结果我们的研究注意到女性优势(17岁为F, 7岁为M),干预时的平均年龄为7岁(3岁为17岁),平均体重为27公斤(10-80公斤),发现心脏杂音和肺炎重复是就诊的两个最常见的原因。TTE是诊断CIA为阳性的关键检查,可以确定其否认,反应的迹象,特别是可以精确地确定缺陷的解剖边缘,并确定通过介入性导管闭合的指征。经食管和经胸多普勒超声心动图是干预期间的有益补充,对假体安装的成功有很大的帮助。根据CIA的大小选择假体。所有患者均随访,临床检查进展良好,功能体征改善,体重增加良好。23例(95.8%)CIA超声心动图满意(假体到位,未见分流),仅1例(4.1%)显示有少量残留分流。随访36个月无晚期并发症发生。结论/观点经皮CIA闭合术是一种安全有效的方法;根据中央情报局的类型及其解剖结构选择候选患者是必要的……
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Percutaneous closure of the inter-auricular communications of the child: About 24 cases

Introduction

Percutaneous closure by interventional catheterization of atrial septal defect is currently considered to be the technique of first-choice closure subject to meeting the recommended criteria, anatomical and hemodynamic.

Objective

The objective of this work is to assess the effectiveness and safety of this technique.

Methods

Our retrospective study is carried out in the cardiology department of Ibn Rochd hospital, including 24 patients who benefit from percutaneous closure by catheterization intervention of their CIA.

Results/Expected results

Our series notes a female predominance (17 F and 7 M), the average age at the time of the intervention was 7 years (3 years is 17), the average weight is 27 kg (10–80 kg), the discovery of a heart murmur and pneumonia has repetitions are the 2 most frequent reasons for consultation. The TTE is the key examination that allowed the diagnosis positive of the CIA, to define its denials, the signs of repercussion and especially to establish with precision the anatomical edges of the defect and establish the indication for closure by interventional catheterization.

Transesophageal and transthoracic doppler echocardiography are a useful complement during the intervention which was of great help for the success of the installation of the prosthesis. The choice of the prosthesis is made according to the size of the CIA. All our patients are followed, their clinical examination finds a good evolution with improvement of the functional signs and good weight gain. Echocardiography is satisfactory (prosthesis in place and absence of shunt) in 23 cases of CIA or 95.8%, and showed a minimal residual shunt in only 1 case or 4.1%. No late complications are occurred over a 36-month follow-up.

Conclusion/Perspectives

Percutaneous closure of CIA is a safe and effective method; the selection of candidate patients is essential according to the type of CIA and its anatomy...

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来源期刊
Archives of Cardiovascular Diseases Supplements
Archives of Cardiovascular Diseases Supplements CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
0.00%
发文量
508
期刊介绍: Archives of Cardiovascular Diseases Supplements is the official journal of the French Society of Cardiology. The journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles, editorials, and Images in cardiovascular medicine. The topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Additionally, Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.
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