Page 357 - 先天性心脏病的导管术：从婴幼儿期到成人期

28 导管依赖型肺循环中的 PDA 支架（动脉导管支架） 339

导致介入手术失败。通过使用有助于将导丝更深地推进到肺动脉中的微导管，可以最
大限度地减少这些弯曲导管失败的机会。将一些非常弯曲的长导管直接送到手术室可
能是谨慎的做法。在存在严重导管处狭窄的情况下，导管支架术是禁忌的，因为它只
经导管促进血流流向一侧肺，并切断流向另一侧肺的血流，除非经多学科讨论，制定

了可以克服术中这种狭窄的明确应对计划。

参考文献

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pulmonary circulation. J Am Coll Cardiol. 2004;44:438-45.

[3] Gewillig M, Boshoff DE, Dens J, Mertens L, Benson LN. Stenting the neonatal arterial
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[4] Sivakumar K, Pavithran S, Sonawane B, Rajendran M, Rajeshkumar R. Serum sirolim-

us levels after implantation of third generation drug eluting cobalt chromium coronary
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