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目的 探讨冠状动脉 肺动脉瘘的DSA表现及栓塞治疗的疗效。材料与方法 经股动脉插管选择性冠状动脉造影 ,分析冠状动脉 肺动脉瘘的DSA表现 ,经确诊后采用聚乙烯醇颗粒及软钢丝栓塞。结果 9例冠状动脉 肺动脉瘘均被造影所证实。 2例较粗大的瘘 ,分别 3次用聚乙烯醇泡沫栓塞及软钢丝栓塞 ,再次选择性冠状动脉造影显示冠状动脉 肺动脉瘘完全被阻塞。结论 选择性冠状动脉造影是诊断冠状动脉 肺动脉瘘的最佳方法。对较大的瘘 ,临床有症状者可用介入栓塞治疗 ,其操作简单、创伤小、安全可靠、预后佳 ,是一种较理想的治疗方法。
Objective To investigate the DSA manifestations of coronary pulmonary arterial fistula and the curative effect of embolization. Materials and Methods Selective coronary angiography through the femoral artery catheterization, analysis of DSA performance of pulmonary artery fistula of coronary artery, after the diagnosis of polyvinyl alcohol particles and soft wire embolization. Results 9 cases of coronary artery pulmonary fistula were confirmed by angiography. 2 cases of larger fistula, respectively, 3 times with polyvinyl alcohol foam embolization and soft wire embolization, re-selective coronary angiography showed completely blocked pulmonary artery fistula of coronary artery. Conclusions Selective coronary angiography is the best method to diagnose coronary artery pulmonary fistula. For larger fistula, clinical symptoms can be treated with interventional embolization, its simple operation, less trauma, safe and reliable, good prognosis, is a more ideal method of treatment.