Efficacy of percutaneous intervention for patent ductus arteriosus guided by transesophageal echocardiography in obese teenagers_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Ning ¹ ,  WEN Ping ¹ , LIU Yuhang ¹ , GAO Minglei ¹ , LIU Dawei ¹ , GUO Wenbin ² , LI Hongxin ²

1. Department of Cardiac Surgery, Dalian Children’s Hospital of Dalian Medical University, Dalian, 116012, Liaoning, P.R.China;
2. Department of Cardiac Surgery, Shandong Provincial Hospital, Shandong University, Jinan, 250021, P.R.China;

Corresponding?author：

WEN Ping, Email: 13504115999@163.com

Keywords：

Patent ductus arteriosus; percutaneous intervention; transesophageal echocardiography; occlusion

DOI：

10.7507/1007-4848.201909001

Video：

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Objective To explore the safety and efficacy of transesophageal echocardiography (TEE)-guided percutaneous intervention for patent ductus arteriosus (PDA) in obese teenagers.Methods From January 2018 to June 2019, 21 obese teenagers with PDA treated with femoral artery occlusion guided by TEE in the Department of Cardiac Surgery, Dalian Children's Hospital of Dalian Medical University were included in this study, including 13 males and 8 females aged 12.8-17.3 (15.1±1.7) years, with an average weight of 51.0-89.0 (73.4±10.1) kg. The operative effect was evaluated. Results All patients successfully received the surgery, and none was changed to radiation-guided or thoracotomy ligation. The average operating time was 23.9±6.8 min, the average postoperative hospitalization time was 3.8±0.6 d. No peripheral vascular injury, intracardiac infection or pericardial effusion occurred. The mean follow-up time was 19.5±4.9 months, and the results of all reexaminations were good.Conclusion For some PDA children with obesity, emphysema or thoracic malformation, it is difficult to block PDA by transthoracic ultrasound-guided percutaneous intervention, and TEE can avoid the interference of chest wall and lung qi, or other factors. It is an effective supplementary guidance method worthy of promotion.

Citation： WANG Ning, WEN Ping, LIU Yuhang, GAO Minglei, LIU Dawei, GUO Wenbin, LI Hongxin. Efficacy of percutaneous intervention for patent ductus arteriosus guided by transesophageal echocardiography in obese teenagers. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(5): 521-524. doi: 10.7507/1007-4848.201909001 Copy

1.	趙燁, 王寧, 文平, 等. 經胸超聲心動圖引導下經皮介入治療兒童心臟復合畸形的安全性和有效性. 中華心血管病雜志, 2018, 46(10): 804-809.
2.	張沖, 何飛, 李迎, 等. 胸骨下小切口經心尖封堵小兒動脈導管未閉. 中國微創外科雜志, 2019, 19(3): 263-266.
3.	孟紅, 逢坤靜, 王燕, 等. 單純依賴超聲心動圖引導并監測動脈導管未閉經皮介入治療的應用. 中國超聲醫學雜志, 2017, 33(2): 104-106.
4.	鄒孟軒, 歐陽文斌, 溫彬, 等. 超聲心動圖引導下行經皮動脈導管未閉封堵術的臨床研究. 中國胸心血管外科臨床雜志, 2018, 25(7): 550-554.
5.	歐陽文斌, 張鳳文, 郭改麗, 等. 單純超聲引導下經皮誘導血栓形成術治療細小動脈導管未閉. 中華實用兒科臨床雜志, 2017, 32(13): 990-992.
6.	朱全偉, 王寧, 高明磊, 等. 經胸超聲心動圖引導可調彎鞘右側頸內靜脈途徑封堵小兒房間隔缺損. 中國微創外科雜志, 2019, 19(10): 878-881.
7.	盧緒寧, 文平, 劉啟龍, 等. 單純食管超聲經股靜脈行動脈導管未閉封堵術的安全性和有效性. 中華實用兒科臨床雜志, 2017, 32(1): 41-43.
8.	劉宇航, 王寧, 趙燁, 等. 經胸微創介入術治療小兒先天性心臟病復合畸形的療效. 中華實用兒科臨床雜志, 2018, 33(13): 1018-1021.
9.	Pan XB, Ouyang WB, Wang SZ, et al. Transthoracic echocardiography-guided percutaneous patent ductus arteriosus occlusion: a new strategy for interventional treatment. Echocardiography, 2016, 33(7): 1040-1045.
10.	楊慧霞. 單純超聲引導下經皮封堵治療先天性心臟病的臨床分析. 醫學理論與實踐, 2018, 31(13): 1924-1925.
11.	Krishnamoorthy KM, Sasikumar D, Bijulal S. Letter to the editor and response: percutaneous closure of atrial septal defects under transthoracic echocardiography without fluoroscopy. J Interv Cardiol, 2016, 29(4): 439-440.
12.	許飛, 黃科. 經食管超聲心動圖在兒童患者手術中的應用研究進展. 中國胸心血管外科臨床雜志, 2016, 23(8): 837-840.

1. 趙燁, 王寧, 文平, 等. 經胸超聲心動圖引導下經皮介入治療兒童心臟復合畸形的安全性和有效性. 中華心血管病雜志, 2018, 46(10): 804-809.
2. 張沖, 何飛, 李迎, 等. 胸骨下小切口經心尖封堵小兒動脈導管未閉. 中國微創外科雜志, 2019, 19(3): 263-266.
3. 孟紅, 逢坤靜, 王燕, 等. 單純依賴超聲心動圖引導并監測動脈導管未閉經皮介入治療的應用. 中國超聲醫學雜志, 2017, 33(2): 104-106.
4. 鄒孟軒, 歐陽文斌, 溫彬, 等. 超聲心動圖引導下行經皮動脈導管未閉封堵術的臨床研究. 中國胸心血管外科臨床雜志, 2018, 25(7): 550-554.
5. 歐陽文斌, 張鳳文, 郭改麗, 等. 單純超聲引導下經皮誘導血栓形成術治療細小動脈導管未閉. 中華實用兒科臨床雜志, 2017, 32(13): 990-992.
6. 朱全偉, 王寧, 高明磊, 等. 經胸超聲心動圖引導可調彎鞘右側頸內靜脈途徑封堵小兒房間隔缺損. 中國微創外科雜志, 2019, 19(10): 878-881.
7. 盧緒寧, 文平, 劉啟龍, 等. 單純食管超聲經股靜脈行動脈導管未閉封堵術的安全性和有效性. 中華實用兒科臨床雜志, 2017, 32(1): 41-43.
8. 劉宇航, 王寧, 趙燁, 等. 經胸微創介入術治療小兒先天性心臟病復合畸形的療效. 中華實用兒科臨床雜志, 2018, 33(13): 1018-1021.
9. Pan XB, Ouyang WB, Wang SZ, et al. Transthoracic echocardiography-guided percutaneous patent ductus arteriosus occlusion: a new strategy for interventional treatment. Echocardiography, 2016, 33(7): 1040-1045.
10. 楊慧霞. 單純超聲引導下經皮封堵治療先天性心臟病的臨床分析. 醫學理論與實踐, 2018, 31(13): 1924-1925.
11. Krishnamoorthy KM, Sasikumar D, Bijulal S. Letter to the editor and response: percutaneous closure of atrial septal defects under transthoracic echocardiography without fluoroscopy. J Interv Cardiol, 2016, 29(4): 439-440.
12. 許飛, 黃科. 經食管超聲心動圖在兒童患者手術中的應用研究進展. 中國胸心血管外科臨床雜志, 2016, 23(8): 837-840.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Efficacy of percutaneous intervention for patent ductus arteriosus guided by transesophageal echocardiography in obese teenagers

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