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目的:评估国产封堵器治疗多孔型房缺的可行性及安全性。方法:在X线及超声引导下对19例多孔型房缺植入国产房缺封堵器,术后常规进行心电图及经胸心脏超声随访半年。结果:所有患者均成功进行了房缺封堵,其中5例放置1枚国产普通型房缺封堵器,7例放置2枚国产普通型房缺封堵器,另7例则分别放置1枚细腰大边型房缺封堵器,术后即刻超声检查1例仍有少许分流,术后1月时随访分流消失,所有患者随访半年未出现明显并发症。结论:国产房缺封堵器可安全应用于多孔型房缺患者的封堵治疗,在经验丰富的先心病介入治疗专科中心,封堵治疗可做为部分多孔型房缺患者的首选治疗。
Objective: To evaluate the feasibility and safety of domestic occluder devices in treating porous atrial septal defect. Methods: Twenty-nine patients with porous atrial septal defect were implanted with LIDA device under X-ray and ultrasound guidance. Electrocardiogram and transthoracic echocardiography were performed routinely for six months. Results: Atrial septal occlusion was successfully performed in all patients, including 5 cases of one type of general-type non-occluder in China, 7 cases of home-type non-occluder in 7 cases and 1 case of other type in 7 cases There was still a slight shunt in one case after ultrasonography. There was no shunt at 1 month after operation, and no obvious complications occurred in all patients during the follow-up period of 6 months. Conclusion: The home-made atrial occluder can be safely applied to the occlusive treatment of patients with porous atrial septal defect. In the specialist center of interventional treatment of advanced congenital heart disease, occlusion therapy can be the preferred treatment for some patients with atrial septal defect.