ĐÓNG THÔNG LIÊN NHĨ BẰNG dù tại BỆNH VIỆN NHI ĐỒNG 2

398

NG DÙ TI BNH VIN NG 2

Phan Thành Th, Nguyn Minh Trí Vit
Khoa Tim mch, Bnh Ving 2


: 

: 




 
: 




tháng dùng cord
: 
: 

SUMMARY
TRANSCATHETER CLOSURE OF ATRIAL SEPTAL DEFECT

Objectives: This study sought to analyze the safety, efficacy, and follow-up results of

Methods: Between february 2010 and february 2011, 60 patients percutaneously treated at

our institution. Indications for closure were: elective closure in patients with ASD > 8mm and/or
frequent respiratory infections; failure to thrive. The procedure was carried out under general
anesthesia with fluoroscopy and transesophageal control. Two different devices were used: 1) the
Amplatzer Septal Occluder (ASO) and 2) the Oclutech Septal Occluder (OSO). Basal physical
examinations and echocardiograms were performed prior to the procedure and at follow-ups (1,
6, and 12 months, and yearly thereafter).
Results: The mean age at closure was 35,5 months from 6 months to 14 years. ASO was
used in 38 subjects; OSO was used in 22 patients. No death or immediate major complications
occurred. The total occlusion rate was 100% at 6 months of follow-up. No midterm major or
minor complications occurred. 1 patient had chronic hemolytic anemia because mitral valve and
tricuspid valve regurgitation. 1 patient with atrial premature beat had complete recovery after 3
months with cordarone PO. Symptomatic patients improved significantly.
Conclusions: In the current experienced hands, ASD closure can be performed safely and
successfully, even in very young children.
Key words: ASD atrial septal defect; ASO (Amplatzer Septal Occluder); OSO (Occlutech
Septal Occluder).


           7   

 
118,3],  

399
12
4], [24].
  [4,1]. 




h nhân





2]; 9].
 



 



             
O

 
 

Quy trình theo dõi: 


 




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


60

35,5  

32/28
 (kg)
12,24  43)
(mm)
8  30


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Có 3 

 



400


3.8 ( 3- 5)

 27)

-34)
ASO (mm)

-34)
OSO (mm)
10  32

8 - 30
ASO = Amplatzer Septal Ocluder ; OSO = Occluder Septal Ocluder

 lúc thông tim.

còn shunt  

hoàn toàn.


theo dõi Holter 
3.6. Theo dõi


theo dõi có 1   này
 (1,6%) 


 10,18
 


5,13


 

    4,6,1,21,14         
[4,1,21
20
23]




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6
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Trong quá trình theo 



22 
   
401
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
thông tim: kChúng
           


11,8,5,13,16,15].






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