Clinical study of transcervical occlusion of patent ductus arteriosus via femoral artery guided by ultrasound
10.3760/cma.j.issn.1008-1372.2018.05.016
- VernacularTitle:单纯超声引导下经股动脉封堵动脉导管未闭的临床研究
- Author:
Bao SUN
1
;
Duan CHENG
;
Bo LI
;
Guibao HE
;
Haifeng WANG
;
Ahati
;
Elias
;
Xi SHENG
;
Jinpeng LI
;
Sadam
;
Hussain
Author Information
1. 新疆心脑血管病医院心外科
- Keywords:
Ductus arteriosus,patent/SU;
Femoral artery/SU;
Septal occluder device;
Thorax/US;
Echocardiography
- From:
Journal of Chinese Physician
2018;20(5):701-703,708
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy and safety of transthoracic echocardiography (TTE) guided by transcatheter closure of patent ductus arteriosus (PDA) through the femoral artery.Methods From February 2016 to December 2017,53 patients with simple PDA were selected,the funnel type in 30 cases,cast type in 23 cases.All patients were guided by TTE and transcatheter closure of PDA through the femoral artery.The femoral artery was guided by TTE by establishing the orbit of the femoral artery-catheter-pulmonary artery to the right ventricle.The right ventricular septal defect was placed under the femoral artery approach,and the therapeutic effect was evaluated by echocardiography after occlusion.The outpatient visits were made at 1,3,and 6 months after operation.Results PDA closure was successfully completed under TTE guidance in 53 patients.In one adult PDA,the ultrasonic diagnosis of the inner diameter of the catheter was incorrect due to the image quality,which resulted in the replacement of the occluded device several times,but the occlusion was successful.The operative time was (30 ± 10)min.And the back diameter of the transcatheter closure device was (12 ± 6) mm and the murmur of the transmission sheath disappeared.There was no shunt between the main pulmonary artery and the main pulmonary artery,and the length of hospitalization was 3-4 days.No shunt signal was found at 1,3 and 6 months follow-up.Left atrial diameter (LAD) [(25.8 ± 6.1) mm vs (30.6 ± 8.4) mm] and left ventricular end diastolic diameter (LVEDD) [(38.5 ±9.1)mm vs (45.2 ± 11.5)mm],were decreased significantly (P ＜0.05).Conclusions It is safe and effective to block PDA by using femoral artery approach under the guidance of TTE,which avoids the damage of X-ray and contrast agent,and its prospect of clinical application is promising.
