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Transcatheter Occlusion of Azygos/Hemiazygos Vein in Patients with Systemic Venous Collateral Development after the Bidirectional Glenn Procedure

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收录情况： ◇ SCIE

作者：

机构： [1]Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, Dept Radiol,State Key Lab Cardiovasc Dis, Beijing 100037, Peoples R China; [2]Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, Dept Cardiac Surg,State Key Lab Cardiovasc Dis, Beijing 100037, Peoples R China; [3]Peking Union Med Coll, Beijing 100037, Peoples R China; [4]Capital Med Univ, Beijing Anzhen Hosp, Dept Intervent, Beijing, Peoples R China; [5]Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiac Surg, Beijing, Peoples R China; [6]Robarts Res Inst, Imaging Res Lab, London, ON N6A 5C1, Canada; [7]Lawson Hlth Res Inst, London, ON, Canada; [8]St Josephs Hlth Care London, London, ON, Canada

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关键词： Azygos vein Transcatheter closure Glenn shunt

摘要：

Objectives: To elucidate the feasibility and treatment effects of transcatheter occlusion of the azygos/hemiazygos vein in patients with progressive cyanosis after performing the bidirectional Glenn procedure. Methods: From January 2007 to May 2011, transcatheter closure was performed on 9 patients (7 males and 2 females) aged 5-15 years (median 9 years). Results: A total of 7 azygos veins and 3 hemiazygos veins were occluded successfully. Coils were employed in 4 of the procedures, patent ductus arteriosus (PDA) occluders in 3, atrial septal defect occluders in 2 and a PDA occluder together with coils in 1 procedure. Immediate complete occlusions were achieved in 9 (81.8%) procedures and trivial residual shunt in 2 (18.2%). The femoral artery oxygen saturation (SaO 2) rose from 81 [interquartile range (IQR) 75-86%] to 88% (IQR 84-91%). Conclusions: Patients with superior vena cava azygos vein collateral channels can be treated successfully by transcatheter occlusion with multiple devices. The device for embolization depends on the extent of the severity of the shunt, the size of the lumen of the azygos vein/hemiazygos vein and the candidate location for occlusion. (C) 2014 S. Karger AG, Basel

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出版当年[2013]版：

大类 | 4 区医学

小类 | 4 区心脏和心血管系统

最新[2023]版：

大类 | 4 区医学

小类 | 4 区心脏和心血管系统

JCR分区：

出版当年[2012]版：

Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

最新[2023]版：

Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

影响因子： 1.9 最新[2023版] 1.9 最新五年平均 1.519 出版当年[2012版] 1.454 出版当年五年平均 1.705 出版前一年[2011版] 2.044 出版后一年[2013版]

第一作者：

第一作者机构： [1]Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, Dept Radiol,State Key Lab Cardiovasc Dis, Beijing 100037, Peoples R China;

通讯作者：

通讯机构： [1]Chinese Acad Med Sci, Natl Ctr Cardiovasc Dis, Fuwai Hosp, Dept Radiol,State Key Lab Cardiovasc Dis, Beijing 100037, Peoples R China;

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