动脉导管未闭合并重度肺动脉高压介入治疗的单中心经验

来源 :第二十四届长城国际心脏病学会议、亚太心脏大会暨国际心血管病预防与康复会议(The 24th Great Wall Int | 被引量 : 0次 | 上传用户:jieys75001
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目的:评价我中心PDA合并重度肺动脉高压(PAH)患者的介入治疗效果.方法:2004年1月至2010年12月,共收治单纯性PDA合并重度PAH(肺动脉收缩压(sPAP) >70mmHg)患者84例,年龄12~60岁,男/女为14/70,均在局麻下行右心导管术确定是否封堵,再采用试封堵法即植入封堵器,监测PAP、AP(主动脉压力)和血氧饱和度,若患者无胸闷、呼吸困难等症状;主动脉造影无或轻度残余分流;封堵后PAP明显下降而AP不降,或者PAP轻微下降而AP升高;血氧饱和度不降者释放封堵器.
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