国产房缺封堵器治疗多孔型房缺

目的：评估国产封堵器治疗多孔型房缺的可行性及安全性。方法：在X线及超声引导下对19例多孔型房缺植入国产房缺封堵器,术后常规进行心电图及经胸心脏超声随访半年。结果：所有患者均成功进行了房缺封堵,其中5例放置1枚国产普通型房缺封堵器,7例放置2枚国产普通型房缺封堵器,另7例则分别放置1枚细腰大边型房缺封堵器,术后即刻超声检查1例仍有少许分流,术后1月时随访分流消失,所有患者随访半年未出现明显并发症。结论：国产房缺封堵器可安全应用于多孔型房缺患者的封堵治疗,在经验丰富的先心病介入治疗专科中心,封堵治疗可做为部分多孔型房缺患者的首选治疗。

Domestic Atrial Septal Defect Occluder for Porous-type Atrial Septal Defect

Objective：To assess the feasibility and security of the domestic atrial septal defect（ASD） occluder in the treatment of multiporous ASDs.Methods：Domestic ASD occluders were implanted in 19 patients with multiporous ASDs under the guidance of X-ray and echocardiography,with 6-months Follow-up by ECG and echocardiography.Results：All of the 19 patients were successfully implanted domestic ASD occluder,5 of 19 with 1 common ASD occluder,7 of 19 with 2 common ASD occluders,7 of 19 with 1 slender waist-big edge ASD occluder.In 1 patient there was trivial residual shunt observed by echocardiography immediately after the procedure that had disappeared at the 1-month follow-up.No significant complications were observed for 6-months follow-up.Conclusions：Domestic ASD occluders are safe and feasible for the treatment of multiporous ASDs,and transcatheter closure could be the preferred therapy for some multiporous ASDs patients in the experienced intervention specialist centers of Congenital Heart Disease.