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頁籤選單縮合
題 名 | Transcatheter Stent Treatment for Congenital Peripheral Pulmonary Arterial Stenosis=經心導管放置血管支架治療週邊肺動脈狹窄 |
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作 者 | 黃碧桃; 李必昌; 傅雲慶; 翁仁崇; 孟春昌; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 41:5 民89.09-10 |
頁 次 | 頁266-269+285 |
分類號 | 417.5214 |
關鍵詞 | 支架; 介入性心導管術; 週邊肺動脈狹窄; 經導管治療; Interventional catheterization; Pulmonary arterial stenosis; Stent; Transcatheter treatment; |
語 文 | 英文(English) |
中文摘要 | 經心導管將五個血管支架放置於兩例患先天性心臓病合併兩側週邊肺動脈狹窄病童體內,以治療外科手術後,仍殘留的肺動脈狹窄。在以氣球導管擴張及置入血管支架後,狹窄兩端的收縮期壓力差,由33.0±16.0下降至10.2±4.4mmHg(P<0.01),雖然原患法洛氏四合症的男童,在一年後追蹤心導管檢查時,發現主肺動脈與左肺動脈之間,有20mmHg的壓力差,但經再置入一個血管支架後,其壓力差下降至12mmHg。兩位病童均能安全的接愛手術,且無任何合併症。在兒童期以經心導管放置血管支架,對外科手術不合適的週邊肺動脈狹窄,是可以接受的治療方法。 |
英文摘要 | A total of 5 Johnson and Johnson stents were implanted in two patients with significant residual peripheral pulmonary arterial stenosis. These were a 15-year-old boy with post-open heart surgery for tetralogy of Fallot and a 3 8/12 year-old boy with D-transposition of great vessels. Immediately after balloon dilatation and implantation of the stents, the diameter of the narrowing pulmonary arteries increased significantly from 6.0±0.8mm to 13.5±1.7mm (P<0.001) and the systolic pressure gradients across the stenosis of peripheral pulmonary artery dropped significantly from 33.0±16.OmmHg to 10.2 ±4.4mmHg (P<0.01). One year later, repeated cardiac catheterization was performed on both patients. In the patient with tetralogy of Fallot, a 20mmHg pressure gradient was found between the main and left pulmonary artery. This patient then received another stent implantation to release the residual stenosis. The boy with D-transposition of great vessels had only 9 mmHg gradient between main and right pulmonary artery. Transcatheter placement of the stent is a feasible and effective method to treat certain patients with significant pulmonary arterial stenosis if surgical correction can not be performed. |
本系統中英文摘要資訊取自各篇刊載內容。