Comparative Study Between Complete Ultrasound Guidance and Radiation Guidance in Percutaneous Balloon Pulmonary Valvuloplasty
10.3969/j.issn.1000-3614.2017.09.017
- VernacularTitle:完全超声引导与放射线引导行经皮肺动脉瓣球囊成形术的对比研究
- Author:
li Gai GUO
1
;
qian Qian LIU
;
bin Wen OU-YANG
;
wen Feng ZHANG
;
Yao LIU
;
Xu QIU
;
zhi Guang ZHAO
;
xuan Meng ZOU
;
Bin WEN
;
bin Xiang PAN
Author Information
1. 中国医学科学院北京协和医学院国家心血管病中心阜外医院心血管外科
- Keywords:
Pulmonary Valve stenosis;
Echocardiography;
Heart catheterization
- From:
Chinese Circulation Journal
2017;32(9):904-907
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of ultrasound guidance for percutaneous balloon pulmonary valvuloplasty (PBPV) in comparison with conventional X-ray guidance.Methods:Our research included in 2 groups:Ultrasound group,n=102 patients with PBPV under ultrasound guidance in our hospital from 2013-03 to 2016-08 and X-ray group,n=280 patients with PBPV under traditional X-ray guidance in our hospital at the same period of time.Post-operative effect was evaluated by echocardiography and compared between 2 groups.Results:The patients' age,body weight,pulmonary artery diameter,immediate post-operative pulmonary transvalvular pressure gradient (PTPG),the in-hospital time and cost were similar between 2 groups,P＞0.05.The success rate of operation in Ultrasound group and X-ray group was 99.0％ vs 100％,P=0.267.In the ultrasound group,1 patient was converted to a conventional surgery due to right ventricular outflow tract muscle spasm after dilation.The operation time in X-ray group was longer than Ultrasound group,(38.9±9.2) min vs (34.6±10.0) min,P＜0.001.The X-ray exposure time was (3.9±1.2) min in X-ray group.The mean follow-up time was (25.5±13.2) months and PTPG in Ultrasound group and X-ray group were (16.2±4.3) mmHg and (15.3±4.5) mmHg,P=0.120.No serious complications as death,peripheral vascular injury,cardiac perforation and pericardial effusion occurred in either group.Conclusion:PBPV under complete ultrasound guidance may not only avoid radiation and contrast agent,but also keep the safety and efficacy of minimally invasive conventional percutaneous interventional treatment.
