Page 87 - 先天性心脏病的导管术：从婴幼儿期到成人期

7 球囊 69

表 7.2 基本设置。
Indication Stock Additional
BalloonAtrial Septostomy balloon—keep atleast2instock Stockupifneed
septostomy anticipated
May order a range of
Low-pressureballoon(suchasTyshakII)— 2or3balloonsforolderpatients
Valvuloplasty keeponeofeachdiameter 5–9/20 mm Coronaryballoonsmaybeusefulafte
forneonatallesions
rvalveperforationinPAIVS
Low-pressureballoonskeptforvalvuloplasty
maybeusefulforvessel treatment in infants Longerlow-pressureballoons(i.
andsmallchildren e.,30mm)areusuallymorestablefor
Keepasmallrangeofmedium-pressure balloons vessel treatment.Shorter high-
(such asPowerfexPro)forlesionsinolderchildre pressureballoons(2cm)maybemore
Vessel n(6,8,10,and effectiveinresistantlesions.Coronar
treatment 12mm,forexample) ynoncompliantballoonsperformwel
High-pressureballoons(suchasAtlasGold) lforverysmalllesionsConsideracutti
areusefulforresistant lesions ngballoon for resistantpulmonaryp
in adolescentsandadults. eripherallesions
Keepasmallrangeofdiameters(12–24mm),usua
llythemostusefullengthis4cm
MatchtolocallyavailablestentsMaxLD
16,26and26mm—BIB25,30and40mm. Consider keeping shorthigh-
CPstent28,34and39mm—BIB30,35and40mm pressure balloon(i.
Stentdelivery
Considerdiameters12,14,15,16,18,20mm(large e.,AtlasGold2cm)for resistant
vesseltreatment) stenosis orstentfaring
22,24mm(landingzoneformelodyvalve)
RVOTsizing:keepa25/40 mm low-
ASDclosure:keep25,30,and40mm/30mmsizin pressureballoon(suchasTyshakII)fo
Sizing gballoonsforsizingoflargedefectsorthosewithfo rtestingdilatedRVOTforvalveimpla
ppyorirregularrims
ntation

参考文献

[1] Abele JE. Balloon catheters and transluminal dilatation: technical considerations. Am J
Roentgenol. 1980;135:901-6.

[2] Lock JE, Keane JF, Perry SB, editors. Diagnostic and interventional catheterization in
congenital heart disease. 2nd ed. Kluwer Academic: Boston; 2000.
[3] Mullins C. Balloon dilation procedures—general. In: Mullins C, editor. Cardiac cathe-
terization in congenital heart disease: pediatric and adult. Malden, MA: Blackwell Futu-
ra; 2006. p. 410-29.