复旦学报（医学版）FudanUnivJMedSci2023Mar.，50（2）应用ICE指导经皮介入封堵双孔型房间隔缺损1例报道张璇1张晓春2△张蕾2李明飞2陈莎莎2潘文志2周达新2葛均波2（1皖南医学院第一附属医院心血管内科芜湖241001；2复旦大学附属中山医院心内科上海200032）【摘要】本文报道1例心腔内超声心动图（intracardiacechocardiography，ICE）指导下的双孔型房间隔缺损（atrialseptaldefect，ASD）介入封堵术。患者术前经胸超声心动图（transthoracicechocardiography，TTE）提示为双孔型ASD（继发孔型），大小分别为12mm和13mm，两处相距约6mm；在数字减影血管造影（digitalsubtractionangiography，DSA）及ICE引导下，成功应用20mm小腰大边ASD封堵器进行封堵，术后即刻ICE提示房间隔无分流，封堵器位置、大小、形态良好，对周围结构无影响。【关键词】房间隔缺损（ASD）；双孔型；心腔内超声心动图（ICE）；介入封堵术【中图分类号】R654.2【文献标志码】Bdoi：10.3969/j.issn.1672-8467.2023.02.024Percutaneoustranscatheterclosureofdouble-holesatrialseptaldefectguidedbyICE：acasereportZHANGXuan1，ZHANGXiao-chun2△，ZHANGLei2，LIMing-fei2，CHENSha-sha2，PANWen-zhi2，ZHOUDa-xin2，GEJun-bo2（1DepartmentofCardiology，theFirstAffiliatedHospitalofWannanMedicalCollege，Wuhu241001，AnhuiProvince，China；2DepartmentofCardiology，ZhongshanHospital，FudanUniversity，Shanghai200032，China）【Abstract】Thispaperreportsacaseofintracardiacechocardiography（ICE）-aidedcatheter-basedclosurewithdouble-holesatrialseptaldefect（ASD）.Thepatientwasdiagnosedasdouble-holessecundumASDbytransthoracicechocardiography（TTE），andthesizeoftwoholeswas12mmand13mmrespectively.Thedistancebetweenthetwoholeswasabout6mm.Undertheguidanceofdigitalsubtractionangiography（DSA）andICE，the20mmseptalocclude（smallwaistandlargeatrial）wassuccessfullyappliedtothepatient.Immediatelyaftertheclosure，ICEindicatedthattherewasnoatrialseptalshunt；theposition，sizeandshapeofthedeviceweresuitable；andthereisnoinfluencetothesurroundingstructures.【Keywords】atrialseptaldefect（ASD）；doubleholes；intracardiacechocardiography（ICE）；transcat-heterclosure■ThisworkwassupportedbyProvincialQuality...
