Berita

1. Pilihan atrial septal occluber

There is still no clear standard for the choice of occluders. The occluder size selected with reference to the congenital heart disease should be equal to or larger than the actual size of the Atrial septal occluber by 1-2 mm.

Choosing a too large Atrial septal occluber can easily cause compression of the surrounding tissues, which will affect the surrounding circulation and tissue blood supply, causing new damage, even tissue necrosis, and enlargement of the fistula. Choosing too small may cause the displacement and falling off of the occluder.

2. Metode pemblokiran atrial septal occluber

The method is similar to the closure process of congenital heart disease: under local anesthesia, sedation or general anesthesia, routine bronchial examination is performed to determine the location of the fistula. Put the Kawat panduan from the working channel of the bronchus into the thoracic cavity through the fistula, fix the Kawat panduan, Dan keluar dari bronchoscope.

Masukkan bronchoscope lagi untuk memasukkan situs target, kirim selubung pengiriman di sepanjang kawat panduan, pilih occluber septal yang sesuai dan kirim ke rongga toraks melalui selubung pengiriman, keluar dari kawat panduan, dan buka payung ujung toraks dari occluber terlebih dahulu di bawah tampilan langsung dari bronchoskop, Tarik selubung panjang agar payung pleura menempel pada fistula. Pastikan posisi baik, occluber tetap, buka occluber, dan tarik selubung untuk melepaskan Lalu kepala occluber. Anda dapat berulang kali push dan menarik selubung pengiriman dengan sedikit kekuatan. Ketika occluber tetap, Anda dapat mengoperasikan pegangan putar untuk melepaskan occluber. Kemudian tarik sarungnya.