查詢結果分析
相關文獻
- Transcatheter Closure of Atrial Septal Defect Guided by On-Line Transesophageal Echocardiography
- Satisfactory Right Ventricular Growth after Transannular Pulmonary Patch and Blalock-Taussig Shunt on Three Newborns with Pulmonary Atresia and Intact Ventricular Septum
- The Effect of Teaching of Meditation with Patient Undergoing the Cardiac Catheterization
- 經心導管治療先天性心臟病的最新發展
- Transcatheter Stent Treatment for Congenital Peripheral Pulmonary Arterial Stenosis
- Catheter-Induced Coronary Spasm--A View of Mechanical Factors and Experience with Selective Left Coronary Arteriography
- 心導管治療陣發性心房纖維顫動
- 經橈動脈作冠狀動脈攝影及介入性治療
- 股靜脈鞘斷落--病例報告暨處理新概念
- In Utero Progressive Pulmonary Stenosis Successfully Treated with Transcatheter Intervention after Delivery
頁籤選單縮合
題 名 | Transcatheter Closure of Atrial Septal Defect Guided by On-Line Transesophageal Echocardiography=以同步經食道超音波心圖監控之經心導管心房中隔修補術 |
---|---|
作 者 | 江正文; 蘇文珍; 許隆安; 林國宏; 楮柏顯; 鄭乃仁; | 書刊名 | Proceedings of the National Science Council : Part B, Life Science |
卷 期 | 22:4 1998.10[民87.10] |
頁 次 | 頁144-149 |
分類號 | 416.262 |
關鍵詞 | 同步經食道超音波; 心導管; 心房中隔修補術; Atrial septal defect; Transcatheter therapy; Transesophageal echocardiography; |
語 文 | 英文(English) |
英文摘要 | Transcatheter occlusion of secundum atrial septal defect has been tried since 1976. Some investigators have incorporated on-line transesophageal echocardiography so as to better monitor the procedure. Most, however, have used endotracheal intubation and general anesthesia. The aim of this study was to evaluate the feasibility of adjunct guidance using on-line transesophageal echocardiography without intubation and general anesthesia in adolescent or adult patients undergoing transcatheter occlusion of secundum atrial septal defects. Ten consecutive cases (age 15 - 68 years) of secundum atrial septal defects with a pulmonary to systemic flow ratio of > 1.5 and a balloon-stretched diameter of < 25 mm were enrolled in the study. The Sideris' buttoned devices were used. The procedure was guided by on-line transesophageal echocardiography and fluoroscopy. Endotracheal intubation and general anesthesia were not employed. The diameters of the atrial septal defects ranged from 6 to 19 mm as determined by transesophageal echocardiography, from 7 to 20 mm as determined by atrial angiography and from 11 to 25 mm as determined by balloon sizing. The Sideris' buttoned devices were successfully deployed in all the patients. On-line transesophageal echocardiography greatly facilitated balloon sizing, device deployment and immediate assessment. One device unbuttoned 24 hours after the procedure and was retrieved smoothly. The remaining 9 patients were followed-up for 12 months. Two patients had no shunt, 3 had a trivial (average diameter by transesophageal echocardiography = 1 - 3 mm) and 4 had a small (average diameter = 4 - 6 mm) residual shunt at the latest follow-up. The cardiothoracic ratios decreased from 0.52 + 0.06 to 0.48 + 0.06 (p = 0.0131). There was no mortality, stroke or device fracture during the follow-up period. Thus, transcatheter occlusion of secundum atrial septal defect under adjunct guidance using on-line transesophageal echocardiography without endotracheal intubation and general anesthesia is promising for selected patients. |
本系統中英文摘要資訊取自各篇刊載內容。