CAJ | 학술논문

目的：探讨血管造影后处理系统测量技术在小儿先天性心脏病中的应用。方法：选取行介入封堵治疗患儿70例，其中动脉导管未闭50例，室间隔缺损20例。使用飞利浦FD20血管造影机，ACIST CVI高压注射器，碘克沙醇320造影剂，总量设定为1～1.5 ml/kg，＜10岁的患儿选用5 F猪尾造影管，＞10岁的患儿选用6 F猪尾造影管进行术中测量，软件为血管造影机自带测量软件，选择导管校准测量，术后对比分析。结果：67例根据病变形态和测量结果成功置入封堵器，术后恢复正常，未出现并发症。其中2例出现术中封堵器脱落，改外科治疗，1例出现Ⅲ度房室传导阻滞而放弃。结论：血管造影的后处理测量功能具有操作简便易行，测量准确等优点，为介入器材型号的选择提供了重要依据。
목적：탐토혈관조영후처리계통측량기술재소인선천성심장병중적응용。방법：선취행개입봉도치료환인70례，기중동맥도관미폐50례，실간격결손20례。사용비리포FD20혈관조영궤，ACIST CVI고압주사기，전극사순320조영제，총량설정위1～1.5 ml/kg，＜10세적환인선용5 F저미조영관，＞10세적환인선용6 F저미조영관진행술중측량，연건위혈관조영궤자대측량연건，선택도관교준측량，술후대비분석。결과：67례근거병변형태화측량결과성공치입봉도기，술후회복정상，미출현병발증。기중2례출현술중봉도기탈락，개외과치료，1례출현Ⅲ도방실전도조체이방기。결론：혈관조영적후처리측량공능구유조작간편역행，측량준학등우점，위개입기재형호적선택제공료중요의거。
Objective: To discuss the application processing system after angiography measurement techniques in children with congenital heart disease. Methods: In our hospital in 2012 interventional transcatheter therapy in children with 70 cases, of which PDA50 cases, VSD20 patients, aged 2-25 years, mean age 11.4 years, including 24 males and 46 females, Philips FD20 angiography, ACIST CVI pressure syringe, the contrast agent iodixanol-320, the total amount of contrast agent is set to 1-1.5 ml / kg body weight, 10 years of age selection 5 F pigtail imaging tube, over the age of 10 chosen 6F pigtail intraoperative imaging tube measurements, angiography machine comes with software for measuring software, select the catheter calibration measurements, after comparative analysis. Results: According to the results of 67 cases successfully implanted lesion morphology and measurements occluder, normal postoperative recovery without any complications. Two cases of intraoperative occluder off, change the surgical treatment, 1 patient had Ⅲ degree atrioventricular block and give up. Conclusion: Angiographic measurements after treatment has simple operation, accurate measurement, etc., interventional equipment models provide an important basis for selection.