Clinical Study to Individual Treatment for Major Aortopulmonary Collaterals of Tetralogy of Fallot

المؤلفون المشاركون

Fan, Chengming
Guan, Qing
Li, Jiarong
Deng, Kai
Wu, Xiaoming
Tang, Shiyuan
Wu, Xun
Yuan, Shuwen
Yang, Jinfu

المصدر

BioMed Research International

العدد

المجلد 2019، العدد 2019 (31 ديسمبر/كانون الأول 2019)، ص ص. 1-6، 6ص.

الناشر

Hindawi Publishing Corporation

تاريخ النشر

2019-05-15

دولة النشر

مصر

عدد الصفحات

6

التخصصات الرئيسية

الطب البشري

الملخص EN

Objectives.

To build a guideline for the individual treatment of Tetralogy of Fallot (TOF) with major aortopulmonary collaterals (MAPCAs) and tentatively establish the occlusion index of MAPCAs.

Methods.

According to the diameter of the aortopulmonary collaterals (R: mm) and the bodyweight of the children (weight: kg), K= ((∑R2)/Wt) was set as the occlusion index of TOF with MAPCAs.

A retrospective study was initially performed in 171 patients who suffered from TOF with MAPCAs and underwent cardiac malformation repair to investigate the intervals of the K value: K≥2, 1

In order to examine the reliability of the intervals derived from the retrospective study, a prospective study was conducted in the following 209 cases.

When K≥2, the collaterals occlusion was performed immediately behind surgical corrections.

The postoperative condition changes in patients with 1

As for patients with K≤1, no occlusion was performed.

Finally, the circumstances of collaterals occlusion, postoperative ventilator assist time, and ICU resident time were collected and analyzed.

Result.

The proportion of the patients treated with occlusion and the postoperative ICU resident time (p<0.05) in patients with 1

Conclusion.

Due to restrictions on medical conditions in China with a large population base, a standard individual treatment of TOF with MAPCAs should be established based on the Aortopulmonary Collaterals Occlusion Index K= ((∑R2)/Wt), which can effectively avoid unnecessary collateral occlusion, minimize trauma, and shorten the length of ICU and hospital stay.

When K≥2, the collateral occlusion and surgical correction are recommended to be performed simultaneously.

When 1

When K≤1, do not deal with collaterals.

نمط استشهاد جمعية علماء النفس الأمريكية (APA)

Guan, Qing& Li, Jiarong& Deng, Kai& Wu, Xiaoming& Tang, Shiyuan& Fan, Chengming…[et al.]. 2019. Clinical Study to Individual Treatment for Major Aortopulmonary Collaterals of Tetralogy of Fallot. BioMed Research International،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1123430

نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)

Guan, Qing…[et al.]. Clinical Study to Individual Treatment for Major Aortopulmonary Collaterals of Tetralogy of Fallot. BioMed Research International No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1123430

نمط استشهاد الجمعية الطبية الأمريكية (AMA)

Guan, Qing& Li, Jiarong& Deng, Kai& Wu, Xiaoming& Tang, Shiyuan& Fan, Chengming…[et al.]. Clinical Study to Individual Treatment for Major Aortopulmonary Collaterals of Tetralogy of Fallot. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1123430

نوع البيانات

مقالات

لغة النص

الإنجليزية

الملاحظات

Includes bibliographical references

رقم السجل

BIM-1123430