Application Study Of Transcatheter Treatment In Congenital Heart Disease In Children

Objectives Try to apply transcatheter to treatment of congenital heart disease in children. And seek to analyze the safety, efficacy and report the results of initial and early follow-up. Explore the compications of procedure and the dealing with it.Methods Between October 2003 and March 2005, 30 children with congenital heart disease, hospitalizing in the department of pediatrica and cardiology, were included in the study. (14 male, 16 female, mean age 7.46 + 3.02 years), includeing 3 atrial septal defects, 4 Patent ductus arteriosus, 19 Perimembranous ventricular septal defects and 4 pulmonary stenosis. 26 children were underwent transcatheter treatment with the domestic-made or import device in the guidance of transthoracic echocardiography and/or fluoroscopy. Follow up after 3 days, 1 month, 3 months,6 months and 12 months with physical examination, transthotacic echocardiography, ECG.Results 25 patients were performed by transcatheter treatment finally. Precedure time 104±63min (40 —240min) , fluoroscopy time 29±23min (9 — 100min) . 4 children with ventricular septal defects were excluded at the heart cineradiography for no suit to do it. 1 patient were failure for the moderated residual shunt and retrieval. Mean duration follow-up 8.6±4.2 months (1 — 15 months) .19 patients with heart volume overload were normalization in 1 -3 months. And partial the hemodynamics were normalization at the same time. No series serious compications were found, such as embolication/transposition of the device, hemolysis, endocarditis.