Efficacy analysis of esophageal ultrasound-guided percutaneous femoral artery closure for ventricular septal defect
- VernacularTitle:食管超声引导下经皮股动脉封堵室间隔缺损的疗效分析
- Author:
Bao SUN
1
;
Duan CHENG
1
;
Bo LI
2
;
Guibao HE
1
;
Haifeng WANG
1
;
Ahati
1
;
Elias
1
;
Xi SHENG
1
;
Jinpeng LI
1
Author Information
1. Department of Cardiac Surgery, Xinjiang Cardiac and Neurovascular Disease Hospital, Urumqi, 830011, P.R.China
2. Department of Ultrasound, Xinjiang Cardiac and Neurovascular Disease Hospital, Urumqi, 830011, P.R.China
- Publication Type:Journal Article
- Keywords:
Ventricular septal defect;
transesophageal echocardiography;
femoral artery;
interventional therapy
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(12):1471-1475
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effectiveness and safety of esophageal ultrasound-guided percutaneous femoral artery closure of ventricular septal defect (VSD). Methods The clinical data of 24 patients with congenital VSD in our hospital from March 2017 to December 2019 were retrospectively analyzed, including 6 males and 18 females, with a median age of 12 (3-42) years, weight of 32 (12-91) kg, and VSD diameter of 4 (3-7) mm. There were 3 patients with VSD combined with atrial septal defect. Results Twenty-four patients successfully underwent interventional closure of percutaneous femoral artery under esophageal ultrasound guidance, and the position and shape of the occluders were good. The operation time was 45 (39-54) min, and the waist size of the occluders was 7 (5-12) mm. Among the patients, 14 patients used symmetric ventricular occlusion devices, 8 patients used asymmetric ventricular occlusion devices, and 2 patients used ventricular occlusion muscle occluders. Small amount of residual shunt occurred in 2 patients after the operation and it disappeared 3 months after the operation. One patient with right bundle branch block, which disappeared after 1 week of observation. There were no complications such as occluder closure, pericardial effusion or valve regurgitation during the perioperative period. During the follow-up period [3-18 (9.25±5.04) months], no serious complication occurred. Conclusion Transesophageal ultrasound-guided transfemoral artery occlusion for VSD is simple and safe, and it avoids the damage of radiation and contrast medium. It has advantages over traditional percutaneous interventional occlusion therapy.
