Application of Pulmonary Vein Deployment Technique for Percutaneous Closure of Atrial Septal Defect Solely Under Echocardiography Guidance
10.3969/j.issn.1000-3614.2018.01.015
- VernacularTitle:肺静脉释放法在单纯超声心动图引导下经皮封堵治疗房间隔缺损中的应用
- Author:
Wen-Bin OU-YANG
1
;
Gai-Li GUO
;
Sheng-Shou HU
;
Guang-Zhi ZHAO
;
Feng-Wen ZHANG
;
Yong-Quan XIE
;
Yao LIU
;
Mu-Zi LI
;
Xu QIU
;
Zi-Qi YUE
;
Xiang-Bin 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 结构性心脏病中心
- Keywords:
Atrial septal defect;
Echocardiography;
Septal occluder device
- From:
Chinese Circulation Journal
2018;33(1):79-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the safety and efficacy of pulmonary vein deployment technique for percutaneous closure of atrial septal defects (ASD) solely under echocardiography guidance. Methods: A total of 38 ASD patients received pulmonary vein deployment in our hospital from 2012-10 to 2016-09 since the conventional method could not deliver the occluder to correct place. The patients were with the mean age at (16.0±15.6) years, body weight at (37.2±22.9) kg and ASD diameter at (17.1±4.2) mm. Operative effect was assessed by echocardiography. Follow-up study was conducted at 1, 3, 6, 12 months post-operation and at each year thereafter. Results: 37 patients were successfully finished pulmonary vein deployment for percutaneous closure of ASD solely under echocardiography guidance. One patient was successfully treated by a controlled steerable sheath. The mean operative time was (25.2±5.1) min and mean diameter of ASD occluder was (22.9±5.6) mm. 2 patients had trivial residual shunt at the early post-operative stage. No peripheral vascular injury, pulmonary vein and cardiac perforation occurred. All 38 patients were recovered and discharged. The average in-hospital time was (2.9±0.7) days. The patients were followed-up for (23.9±15.4) months, without complications of residual shunt, pericardial effusion, aortic regurgitation and pulmonary vein stenosis. Conclusion: Pulmonary vein deployment technique for percutaneous closure of ASD solely under echocardiography guidance was safe and effective; it can avoid radiation damage and provided a simple and practical method for ASD patients who failed to conventional method under echocardiography guidance.
