46 cases of central type atrial septal defect intervention by percutaneous closure with color Doppler ultrasound
ZHANG Shengkang YIN Xiaoqing XU Zhaojun WANG Zhaoli YANG Jin CHENG Yu XIE Xinlong
Department of Cardiothoracic Surgery, First Affiliated Hospital of Hu'nan University of Traditional Chinese Medicine, Hu'nan Province, Changsha 410000, China
Abstract：Objective To investigate the effect and application of percutaneous transcatheter closure of atrial septal defect with color Doppler ultrasound. Methods From January 2015 to March 2016, in Department of Cardiothoracic Surgery, First Affiliated Hospital of Hu'nan University of Traditional Chinese Medicine, 46 patients with central type atrial septal defect underwent ultrasound guided percutaneous interventional therapy were selected, internal jugular vein or femoral vein was chosen as the surgical approach according to the size and location of the atrial septal defect, and the patients' own situation. Results 42 cases were blocked by femoral vein approach, 41 cases were successful, 1 case was converted into thoracic plugging. 4 cases were blocked by internal jugular vein approach, 3 cases were successful, 1 case was transferred to thoracic plugging. The 44 successful cases recovered fast with no complications such as occluder dislocation, residual shunt, thrombus, hemolysis in Postoperative followed-up. Conclusion Percutaneous closure of atrial septal defect with color Doppler ultrasound may be a new treatment method to replace the traditional method.
[Key words] Atrial septal defect; Color Doppler ultrasound guidance; Minimally invasive; Occlusion
[1] 肖戎，王中芳.医学影像应用线的危害及防护[J].实用医学影像杂志，2013，14（4）：294-295.
[2] Yakoumakis E，Gialousis GI，Papadopoulou D，et al. Estimation of children's Radiation dose from cardiac catheterisations，performed for the diagnosis or thetreatment of a congenital heart disease using TLD dosimetry and Monte Carlo simulation [J]. J Radiol Prot，2009，29（2）：251-261.
[3] Wan L，Yu BT，Wu QC，et al.Transthoracic closure of atrial septal defect and ventricular septal defect without cardiopulmonary bypass [J]. Genet Mol Res， 2015，14（2）：3760-3766.
[4] Moore J，Hegde S，El-Said H，et al. Transcatheter device closure of atrial septal defects：a safety review [J]. JACC Cardiovasc Interv，2013，6（5）：433-442.
[5] Zaqout M，Suys B，De WH，et al. Transthoracic echocardiography guidance of transcatheter atrial septal defect closure in children [J]. Pediatr Cardiol，2009，30（7）：992-994.
[6] Yang Y，Zhang W，Wu Q，et al. Transcatheter closure of atrial septal defects without fluoroscopy：a well-established procedure for alternative use in children [J]. Eur Interv，2016，12（5）：652-657.
[7] Matthias R，David J，Alain M，et al. Efficacy and safety of transcatheter closure in adults with large or small atrial septal defect [J]. Springerplus，2016，5（1）：1844.
[8] Bartakian S，El-Said HG，Printz B，et al. Prospective randomized trial of transthoracic echocardiography versus transesophageal echocardiography for assessment and guidance of transcatheter closure of atrial septal defects in children using the Amplatzer septal occluder [J]. JACC Cardiovasc Interv，2013，3（9）：974-980.
[9] 彭坤，赵文增，文冰.食管超声引导下经皮房间隔缺损封堵术的临床研究[J].郑州大学学报：医学版，2016，51（2）：274-276.
[10] Rishi AB，Ankur P，Charan PL，et al. Modified transjugular approach for percutaneous atrial septal defect closure [J]. Ann Pediatr Cardiol，2017，10（2）：197-199
[11] Al-Anani SJ，Weber H，Hijazi ZM. Atrioventricular block after transcatheter ASD closure Using the Amplatzer septal occluder：risk factors andrecommendations[J].Catheter Cardiovasc Interv，2010，75（5）：767-772
[12] Chen Q，Cao H，Chen Z，et al. Comparative study of the transcatheter and transthoracic device closure treatments for atrial septal defect [J]. Medicine （Baltimore），2017，96（11）：6316.
[13] Sadiq N，Ullah M，Sultan M，et al. transthoracic echocardiography as a measuring and guiding tool for transcatheter device closure of secundum atrial septal defect in young children [J]. J Invasive Cardiol，2014，26（6）：245-248.
[14] Akkaya E，Vuru?觟kan E，Aksoy I，et al. Intracardiac echocardiography-guided device closure of atrial septal defects：our initial experience [J]. Turk Kardiyol Dern Ars，2011， 39（6）：474-478.
[15] 潘湘斌，李守军，胡盛寿，等.经胸超声心动图引导房间隔缺损封堵术的可行性[J].中华心血管病杂志，2014， 42（9）：744-747.
[16] 潘湘斌，逢坤静，胡盛寿，等.经食管超声心动图引导下介入治疗房间隔缺损幼儿的有效性和安全性[J].中华心血管病杂志，2013，41（9）：744-746.
[17] Azhar AS. Safety and efficacy of transthoracic versus transesophageal echocardiography in transcatheter closure of atrial septal defects [J]. Saudi Med J，2016，37（11）：1196-1205.
[18] 卢衡，陈良万，张贵灿，等.超声心动图引导下经皮房间隔缺损封堵术的临床评估[J].中南大学学报，2015，40（6）：646-650.
[19] 郭庆彬.超声心动图在经导管房间隔缺损封堵术中的应用研究[J].中国医学装备，2016，13（1）：97-99.
[20] 姚菊英，叶菁菁.彩色多普勒超声心动图诊断胎儿先天性心脏病的临床价值研究[J].中国现代医生，2015，53（18）：114-116.
2017, Vol. 14 
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