经食管超声心动图监测动脉导管未闭封堵术的应用价值

吴正华; 周爱云; 张诚; 王丽丽; 刘娟

doi:10.13201/j.issn.1001-1439.2014.12.004

经食管超声心动图监测动脉导管未闭封堵术的应用价值

- 南昌大学第一附属医院超声科(南昌, 330006)

详细信息

通讯作者: 周爱云,E-mail:zhouaiyun1960@163.com

中图分类号: R541.1

收稿日期: 2014-04-01

Value of transesophageal echocardiography monitoring occluder of patent ductus arteriosus

- Department of Ultrasound, The First Affiliated Hospital of Nan Chang University, Nanchang, 330006, China

More Information

Corresponding author: ZHOU Aiyun, E-mail: zhouaiyun1960@163.com

Received Date: 01 April 2014

摘要

摘要: 目的:探讨经食管超声心动图(TEE)在经胸小切口动脉导管未闭(PDA)封堵术中的应用价值。方法:封堵术前采用经胸超声心动图(TTE)初筛12例PDA患者,均符合封堵条件,仰卧位气管插管全麻后,沿食管将探头缓慢插入。手术前行TEE检查进一步明确PDA降主动脉侧及肺动脉侧内径、动脉导管长度及类型、血流方向,指导选择合适的封堵器。术中在TEE实时监测下行PDA封堵术,引导封堵器的正确放置,术后即刻评估封堵器的位置是否固定,是否有残余分流及并发症,术后3个月再行TTE随访。结果:TEE扫查下12例PDA均得到良好显示,其中7例为管型,5例为漏斗型,均适合封堵条件,在TEE的引导下成功完成封堵器的放置,并取得良好效果,动脉导管水平分流均完全消失,术后即刻及3个月随访均未见残余分流。结论:TEE对监测经胸小切口PDA封堵术中封堵器的放置及术后疗效评估起着重要作用。
- 动脉导管未闭 /
- 食管超声心动图 /
- 封堵
Abstract: Objective:To explore the application value of transesophageal echocardiography (TEE) in transthoracic small cutout patent ductus arteriosus (PDA) occluder. Method:Before occluder, we primarily screened twelve cases of patients with PDA by transthoracic echocardiography (TTE).They were in line with occluder conditions. With supine endotracheal intubation,we slowly inserted the probe along the esophagus.Before surgery we further clarified the PDA line the descending aorta side and pulmonary artery side of the diameter, length and type of catheter, blood flow direction and guide the selection of a suitable closure device by TEE examination.Intraoperative the PDA occluders was done in TEE real-time monitoring, and closure device was placed correctly in TEE.The immediate postoperative assessment of whether the location of closure device stable and whether there was residual shunt and complications were done in TEE. Three months postoperative follow-up was took by TTE.Result: Twelve cases were well displayed in TEE, seven cases was the tube type and five cases was funnel-shaped.They were suitable for occluding. Under the TEE guidance they were successful for placement of occluder device and achieved good results.The artery shunt levels were completely disappeared immediately and the three months follow-up showed no residual shunt. Conclusions:TEE has an important value in transthoracic small incision of PDA occluder and instantly evaluate the curative effect.
- patent ductus arteriosus /
- transesophageal echocardiography /
- occluder

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