Efficacy of percutaneous intervention for patent ductus arteriosus guided by transesophageal echocardiography in obese teenagers
- VernacularTitle:超声引导下股动脉途径封堵肥胖青少年动脉导管未闭的疗效观察
- Author:
Ning WANG
1
;
Ping WEN
1
;
Yuhang LIU
1
;
Minglei GAO
1
;
Dawei LIU
1
;
Wenbin GUO
2
;
Hongxin LI
2
Author Information
1. Department of Cardiac Surgery, Dalian Children’s Hospital of Dalian Medical University, Dalian, 116012, Liaoning, P.R.China
2. Department of Cardiac Surgery, Shandong Provincial Hospital, Shandong University, Jinan, 250021, P.R.China
- Publication Type:Journal Article
- Keywords:
Patent ductus arteriosus;
percutaneous intervention;
transesophageal echocardiography;
occlusion
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(05):521-524
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the safety and efficacy of transesophageal echocardiography (TEE)-guided percutaneous intervention for patent ductus arteriosus (PDA) in obese teenagers. Methods From January 2018 to June 2019, 21 obese teenagers with PDA treated with femoral artery occlusion guided by TEE in the Department of Cardiac Surgery, Dalian Children's Hospital of Dalian Medical University were included in this study, including 13 males and 8 females aged 12.8-17.3 (15.1±1.7) years, with an average weight of 51.0-89.0 (73.4±10.1) kg. The operative effect was evaluated. Results All patients successfully received the surgery, and none was changed to radiation-guided or thoracotomy ligation. The average operating time was 23.9±6.8 min, the average postoperative hospitalization time was 3.8±0.6 d. No peripheral vascular injury, intracardiac infection or pericardial effusion occurred. The mean follow-up time was 19.5±4.9 months, and the results of all reexaminations were good. Conclusion For some PDA children with obesity, emphysema or thoracic malformation, it is difficult to block PDA by transthoracic ultrasound-guided percutaneous intervention, and TEE can avoid the interference of chest wall and lung qi, or other factors. It is an effective supplementary guidance method worthy of promotion.
