封堵器植入后感染性心内膜炎的初步认识及诊治进展.pdfVIP

·1910 · 中华临床医师杂志( 电子版)2014 年5 月第8 卷第10 期 Chin J Clinicians(Electronic Edition),May 15,2014,Vol.8,No.10 ·综述· 封堵器植入后感染性心内膜炎的初步认识及诊治进展 杨呈伟 李炯佾 徐仲英 赵世华 吴文辉 【摘要】 经导管封堵术主要用于治疗先天性心脏病间隔缺损，也用于其他心内或心外异常分 流，如瓣膜置换术后瓣周漏。封堵器植入后感染性心内膜炎（IE ）非常罕见，资料较完整者仅有18 例报道，但是一旦发生则非常严重，随着经皮封堵装置临床应用的日益广泛，该类并发症须引起足 够重视，甚至对封堵术前、术中及术后预防性应用抗生素方案也可能需要重新评价。本文对封堵器 植入后IE 的初步认识及诊治进展进行综述。 【关键词】 心内膜炎，亚急性细菌性； 介入治疗，封堵器 * Current knowledge of occluder device-associated endocarditis Yang Chengwei , Li Jiongyi, Xu * Zhongying, Zhao Shihua, Wu Wenhui. Department of Radiology, Qingdao Fuwai Cardiovascular Hospital, Qingdao 266034, China Corresponding author: Wu Wenhui, Email: wenhuiwu2007@ 【Abstract 】 The percutaneous approach remains an increasingly utilization and valuable method of treating congenital heart disease (CHD) and perivalvular leak. Although reportedly rare, infective endocarditis (IE) as a complication may become more widely recognized as the use of percutaneous occluder devices increases and the population of patients with indwelling prostheses grows. Eighteen previous cases of IE after occluder device implantation have been reported. The increasing use of intracardiac devices may require a reevaluation of the possible need for administration of prophylactic antibiotics before, during, or after the procedure and the type of antibiotics to be given. The current knowledge of occluder device-associated IE was reviewed in this article. 【Key words 】 Endocarditis, subacute bacterial; Intervention, closure device