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①目的 探讨经导管房间隔缺损(ASD)封堵术的可行性及安全性并进行疗效评价。②方法 通过经胸超声心动图(TTE)选择适合封堵的ASD病人26例,在 TTE及 X线引导下行介入封堵术,术后通过 TTE进行动态的随访观察。③结果 26例病人全部封堵成功,技术成功率为 100%;术后 2 例病人有微量至少量残余分流;1例出现阵发性心房颤动,无其他严重并发症发生。术后 50%以上病人接受了 6 个月随访。④结论 经导管ASD封堵术具有很高的成功率及安全性;介入封堵术疗效好、并发症少、术后恢复快;TTE可以准确地应用于 ASD封堵术中。
Objective To investigate the feasibility and safety of transcatheter atrial septal defect (ASD) occlusion and to evaluate the efficacy. Methods Twenty-six ASD patients were selected by transthoracic echocardiography (TTE). TTE and X-ray guided interventional occlusion. TTE was followed up dynamically. Results All the 26 patients were successfully occluded, with a technical success rate of 100%. Two patients had minimal residual residual shunt after operation. One patient had paroxysmal atrial fibrillation and no other serious complications occurred. More than 50% of patients received 6 months follow-up. ④ Conclusion Transcatheter ASD occlusion has a high success rate and safety; interventional occlusion has good curative effect, less complications and quick recovery; TTE can be accurately applied in ASD occlusion.