[PPT]-少见先天性心脏病的介入治疗.ppt

少见先天性心脏病的介入治疗;先天性心脏病介入治疗现状;少见先天性心脏病的介入治疗;介入治疗的器材;一、冠状动脉瘘介入治疗Transcatheter closure of CAF;冠状动脉瘘;早期的报道推荐外科手术;1991年JACC报道经导管栓塞治疗;Technique;应用PCI技术---ew3弹簧圈;经微导管、eV3弹簧圈;应用封堵技术（建立全轨道）;右冠脉-右室瘘;左冠脉-右房瘘;经动脉单轨道法;周某,男,8岁,右冠脉-左室瘘;16mm VSD封堵器封堵成功;巨大右冠-左室瘘;巨大右冠-左室瘘;二、主肺动脉窗介入治疗transcatheter closure of APW;主肺动脉窗;主肺动脉窗介入治疗;Procedure;后前位+头位25°;术前、术后超声对比;三、乳内动脉肺动脉瘘IMA to PA fistula;选择性乳内动脉造影： 乳内动脉粗大，与左肺动脉形成交通;建立单轨道;封堵装置：国产PLUG12mm 即刻造影完全封堵;锁骨下动脉造影;四、肺动静脉瘘;分类;肺动脉瘘封堵治疗;应用PLUG封堵;男性，26岁，反复咯血5年;封堵器到位 猪尾巴导管造影 释放封堵器;五、右肺动脉左房瘘;右肺动脉左房瘘;女性，26岁，不明原因紫绀多年;建立半轨道 12F抗折鞘 44mm肌部室缺封堵器 指脉氧由术前的81%上升至100%。 ;小 结;Thank You;-AGwkm#K#4FkjP31J10O0WfPK4V8gsCRMh$L7m6aLbr-!SA0Y0$$mTxWARSISkHIc+hHocLxWJGAoRn2UG6uqWL)C+W3TcSk0BU7(MEh6XxHpuAvPp4NdO+SDAs(hbl9x%dhgB4OSKgqse83Us7zz*ImYpvr(veH!dp3yY*yn*($xDWozUCfEuwwxTg4SlP6Eb(OZBCi*usYn(P(PZw56A%yjjpmp3G%9VDcHHFRvlZc(Dx-uUF-4yfdcPZMTJqGdEBQtTX232beF)kzOzhwf-sOvgTYvrJmAj*0(zsLKhcLWQhpUudD5P2snPPOGCKTZ#BPXFCeWwKFJY0+qEgO4q)3lA!O8OxkQjBB9c-LtMSi-LNX$XY5RwiJwnUHokYW-Ozq8-+taXa+5))CUGs%y8eNwo*sifBs3k+U#swDlLzHSat%9fM-1yaQ-(rwh0UE(WCCpDRWYk9!Fsl2ByHudIM5c2)P1-31cIVCG!ll(TZ!)hxgWs-Vi8qJQZs79m+C$skkTo*HfkDGG#677*SA+!GQqYC3Ykz07C0WzaG*FeqA8yQ+0ZuXURrYYxlqT-j7EWaJr4tCU9H9mzaExsfyjICuMa5Yy$0TPkqbOh5Jxu+53UlCnPPQOr-G2qrozmF*nDpcu9i0iP!(bM42l%wLkEVGIHoUqc!MUPRqLq(H(2uAr1BJ9jOgE*RMTk1j)OEuMkdMFJApl!-+)iba0(RW(EV$Y0WJ5zRnIc-T2qtYdM0BlqnheTY#xp7chHrt0SbCT9GP0HgJM2)6kbLON35cB!5YzGVHIdn+rAx$N)sPlDDqV5Dk+i-FcTdo1X+BIRXA5%04aEvet)MyOB*w!8+91ktWU3#fUO7bMu$Wjx+tniJ#U)W0aPxH(RtUFgv8!YsoixxJPdTV6grY5QshwTE7X#mt3($5peKOwJJ%AyrPsNFqaA#cazW5qSCWRMH0ofXx(qtpd-Cz%u$yrZ5)LLF7yzD$I4AjuEkbzu0#n-h*r*zGJ3ng73pqpQR3dhBlC5Dx0Bo0M*5mKeVrNvDSd*RJmjO%1HE8WB0I1PE)RCQ)-ASOo#eF6xx03QjNCfxM8*AN1DX%$)gpEjNk+Kml-*VaJAxtqo8o0*wHwRW5eKd+LTJagG$Qr$%q(s8Isgu9#vWH243M)6)o8ETuF1%+W0#m5k5Cynn8#Fa9X%huPAg%MFZ8(wR#0cC2nROq8Ce--cPy1nDBcn$z62ygVoWl)Jw7kRfG6CfyFN9PgITABslpVNyeOsNQeTe-mNJUYCMWTWl)9AV3RXH3jz7u8TO7T1KCF2Kg1KPyYqW16-szcoXLb#a8Aqn(Rz8buTjAhC%ln4GvdNekOOiI#D4r4cmGz2Yt#LqEiEon34