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1、·356·中国介入心脏病学杂志2014年6月第22卷第6期ChinJInterventCardiol,June2014,Vol22,No.6过缺损后需要再次行经胸超声心动图确认输送鞘［5］CaoQ,RadtkeW,BergerF,etal.Transcatheterclosureofmultipleatrialseptaldefects.Initialresultsandvalueoftwo-andthree-是否通过目标缺损（即较大缺损），如果反复无法dimensionaltransoesophagealechocardiography.EurHeartJ,2000
2、,进入目标缺损，可以选择展开封堵器盘片后行经胸21:941-947.［6］TeijiAkagi.Catheterinterventionforadultpatientswithcongenital超声监测。根据本中心既往经验，当两处缺损距离heartdisease.JCardiol,2012,60:151-159小于7mm时，经任何一个缺损展开封堵器盘片，［7］MajunkeN,BialkowskiJ,WilsonN,etal.ClosureofAtrialSeptalDefectWiththeAmplatzerSeptalOccluderinAdults.AmJCa
3、rdiol,一般均能同时对2处缺损进行有效封堵。但是对2009,103:550-554.于极少量经改良通过法特别难于通过的缺损，不［8］KotowyczMA,TherrienJ,Ionescu-IttuR,etal.Long-TermOutcomesAfterSurgicalVersusTranscatheterClosureofAtrial推荐勉强使用本术式，应撤出封堵器改由导丝导SeptalDefectsinAdults.JACCCardiovascInterv,2013,6:497-503.管引导输送鞘通过。［9］HarperRW,MottramPM,McGaw
4、DJ.ClosureofsecundumatrialseptaldefectswiththeAmplatzerseptaloccluderdevice:techniques本中心基于经典房间隔缺损介入封堵术基础andproblems.CatheterCardiovascInterv,2002,57:508-524.上设计的改良输送鞘通过法介入封堵术，近中期［10］刘加立，钱文浩，夏勇，等．先天性心脏病介入治疗相关的心脏压塞病例分析．中国介入心脏病学杂志，2012，20:204-206.效果肯定，介入相关并发症发生率低，远期效果［11］王慧深，钱明阳，张智伟，等．改良肺
5、静脉释放法在小儿房有待随访观察，还有待多中心的研究进一步证实间隔缺损介入封堵术中的应用．岭南心血管病杂志，2005，11:345-348.其疗效。［12］DivekarA,GaamangweT,ShaikhN,etal.CardiacperforationafterdeviceclosureofatrialseptaldefectswiththeAmplatzerseptal参考文献occluder.JAmCollCardiol,2005,45:1213-1218.［13］DiBardinoDJ,McElhinneyDB,KazaAK,etal.Analysisoft
6、he［1］MurphyJG,GershBJ,McGoonMD,etal.Long-termoutcomeafterUSFoodandDrugAdministrationManufacturerandUserFacilitysurgicalrepairofisolatedatrialseptaldefect.Follow-upat27to32DeviceExperiencedatabaseforadverseeventsinvolvingAmplatzeryears.NEnglJMed,1990,323:1645-1650.septaloccluderdevicesan
7、dcomparisonwiththeSocietyofThoracic［2］KingTD,MillsNL.Nonoperativeclosureofatrialseptaldefects.Surgerycongenitalcardiacsurgerydatabase.JThoracCardiovascSurgery,1974,75:383-388.Surg,2009,137:1334-1341.［3］DuZD,HijaziZM,KleinmanCS,etal.Comparisonbetween［14］KhositsethA,CabalkaAK,Swe
