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相關文獻
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題名 | Transesophageal Echocardiographic Monitoring for Transcatheter Closure of Atrial Septal Defect=使用經食道超音波監測經導管心房中膈缺損關閉術 |
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作者 | 曾祥建; 蕭柏妮; 林鈺樺; 王主科; 蔡勝國; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 99:9 2000.09[民89.09] |
頁次 | 頁684-688 |
分類號 | 415.31 |
關鍵詞 | 食道超音波; 經導管心房中膈缺損關閉術; Atrial septal defect; Atrial septal occluder; Transesophageal echocardiography; |
語文 | 英文(English) |
英文摘要 | Background and purpose: Transcatheter closure of atrial septal defect (ASD) is generally performed under fluoroscopy aone. Recently, we have used transesophageal echocardiography (TEE) monitoring as an aid in performing this procedure. The purpose of this study was to evaluate the efficacy and complications associated with this use of TEE. Methods: Transcatheter closure of ASD was accomplished under TEE guidance simultaneously with fluoroscopic imaging in 11 patients aged 3 to 33 years (weight, 15.4-62.9 kg). TEE was successfully performed in all patients after endotracheal general anesthesia. The ASDs were reexamined before catheterization. The appropriate placement of the occluder device was evaluated. Results: Seven cares were uneventful with successful ASD occluder implantation, but one failed because of a large ASD (24.7 mm). In three cages, transcatheter closure was aborted after TEE examination, one with a large ASD (27.05 mm), one with an ASD that was too small, and one with multiple fenestrated ASDs. Conclusions: Routine TEE monitoring for transcatheter closure of ASDs is effective for evaluation of ASD before implantation of an occluder, to ensure the proper seating of the occluder after the defect occlusion is complets. |
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