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室间隔缺损(Ventricular Septal defect
VSD)约占先天性心脏病的20%。绝大部分为膜周部室间隔缺损。随着介入心脏病学的发展
室间隔缺损经皮封堵术在临床得到广泛应用
与传统的外科修补手术相比
经导管介入封堵的方法不需要切开胸骨和进行体外循环
创伤小
术后恢复快
围术期并发症发生率和死亡率低
封堵成功率高。然而
介入治疗后并发症依然存在
如封堵器栓塞、瓣膜损害、心律失常
Stephanie L. Siehr,Frank L. Hanley,V. Mohan Reddy,Christina Y. Miyake,Anne M. Dubin.Incidence and Risk Factors of Complete Atrioventricular Block after Operative Ventricular Septal Defect Repair[J].Congenit Heart Dis,2014(3).
Rong Yang,Xiang-Qing Kong,Yan-Hui Sheng,Lei Zhou,Di Xu,Yong-Hong Yong,Wei Sun,Hao Zhang,Ke-Jiang Cao.Risk Factors and Outcomes of Post-Procedure Heart Blocks After Transcatheter Device Closure of Perimembranous Ventricular Septal Defect[J].JACC: Cardiovascular Interventions,2012(4).
James R. Bentham,Arjun Gujral,Satish Adwani,Nick Archer,Neil Wilson.Does the technique of interventional closure of perimembranous ventricular septal defect reduce the incidence of heart block?[J].Cardiology in the Young,2011.
Yongwen Qin,Jinming Chen,Xianxian Zhao,Dening Liao,Ruibin Mu,Shengqiang Wang,Hong Wu,Haoxue Guo.Transcatheter Closure of Perimembranous Ventricular Septal Defect Using a Modified Double-Disk Occluder[J].The American Journal of Cardiology,2008(12).
Caroline Ovaert,Andreea Dragulescu,Thierry Sluysmans,Mario Carminati,Alain Fraisse.Early Surgical Removal of Membranous Ventricular Septal Device Might Allow Recovery of Atrio-Ventricular Block[J].Pediatric Cardiology,2008(5).
Elliot M. Tucker,Lee A. Pyles,John L. Bass,James H. Moller.Permanent Pacemaker for Atrioventricular Conduction Block After Operative Repair of Perimembranous Ventricular Septal Defect[J].Journal of the American College of Cardiology,2007(12).
Gianfranco Butera,Mario Carminati,Massimo Chessa,Luciane Piazza,Angelo Micheletti,Diana Gabriella Negura,Raul Abella,Alessandro Giamberti,Alessandro Frigiola.Transcatheter Closure of Perimembranous Ventricular Septal Defects[J].Journal of the American College of Cardiology,2007(12).
Yun-Ching Fu,John Bass,Zahid Amin,Wolfgang Radtke,John P. Cheatham,William E. Hellenbrand,David Balzer,Qi-Ling Cao,Ziyad M. Hijazi.Transcatheter Closure of Perimembranous Ventricular Septal Defects Using the New Amplatzer Membranous VSD Occluder[J].Journal of the American College of Cardiology,2006(2).
J. Masura,W. Gao,P. Gavora,K. Sun,A.Q. Zhou,S. Jiang,L. Ting-liang,Y. Wang.Percutaneous Closure of Perimembranous Ventricular Septal Defects with the Eccentric Amplatzer Device: Multicenter Follow-up Study[J].Pediatric Cardiology,2005(3).
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