胎儿结构性心脏病介入治疗专家指导意见(2019年制定)
|
摘要
<正>先天性心脏病是我国因出生缺陷致婴幼儿死亡的首要原因,发生率为0.6%～0.8%。随着胎儿超声心动图等筛查技术的迅速发展,胎儿心脏畸形、特别是复杂畸形检出率明显提高[1],可对疾病自然演变进行有效评估[2]。部分心脏畸形在妊娠中晚期可演变进展致心肌不可逆损害,危及胎儿生命,生后预后不良。适时接受胎儿心脏介入治疗(FCI)可及早中断此类疾病进展,解除梗阻性病变,促进心室继续发育,增加生后双心室循环可能,改善远期预后[3]。
引文
[1]梁雪村,黄国英.胎儿先天性心脏病的超声诊断及临床干预[J].实用儿科临床杂志,2012,27(1):4-7.
[2] Chitra N,Vijayalakshmi IB. Fetal echocardiography for early detection of congenital heart diseases[J]. J Echocardiogr,2017,15(1):1-5.
[3] Moon-Grady AJ,Morris SA,Belfort M,et al. A worldwide collaborative description and preliminary outcomes[J]. J Am Coll Cardiol,2015,66(4):388-399.
[4] Maxwell D,Allan L. Balloon dilatation of the aortic valve in the fetus:Areportoftwocases[J].BrHeartJ,1991,65(5):256-258.
[5] Donofrio MT,Moon-Grady AJ,Hornberger LK,et al. Diagnosis and treatment of fetal cardiac disease:a scientific statement from the American Heart Association[J]. Circulation,2014,129(21):2183-2242.
[6]庞程程,潘微,张智伟,等.室间隔完整的严重肺动脉瓣狭窄或闭锁胎儿心脏介入治疗二例[J].中华儿科杂志,2018,56(6):445-450.
[7] Xing QS,Sun Y,Luo G,et al. Intrauterine intervention of pulmonary atresia at 26th gestational week[J]. Chin Med J(Engl),2018,131(23):2880-2881.
[8] Daubeney PE,Sharland GK,Cook AC,et al. Pulmonary atresia with intact ventricular septum:impact of fetal echocardiography on incidence at birth and postnatal outcome. UK and Eire Collaborative Study of Pulmonary Atresia with Intact Ventricular Septum[J]. Circulation,1998,98(6):562-566.
[9] Gómez ME,Herraiz I,Mendoza,et al. Fetal intervention in right outflow tract obstructive disease:selection of candidates and results[J]. Cardiol Res Pract,2012,(2012):592403.
[10] Tworetzky W,McElhinney DB,Marx GR,et al. In utero valvuloplasty for pulmonary atresia with hypoplastic right ventricle:Techniques and outcomes[J]. Pediatrics,2009,124(3):510-518.
[11] Tulzer A,Arzt W,Gitter R,et al. Immediate effects and outcome of in-utero pulmonary valvuloplasty in fetuses with pulmonary atresia with intact ventricular septum or critical pulmonary stenosis[J]. Ultrasound Obstet Gynecol,2018,52(2):230-237.
[12]延玲,熊鉴然.临床超声心动图学[M].北京:科学出版社,2014:498-501.
[13] McElhinney DB,Tworetzky W. Current status of fetal cardiac intervention[J]. Circulation,2010,121(10):1256-1263.
[14] Marshall AC,Tworetzky W,Bergersen L,et al. Aortic valvuloplasty in the fetus:technical characteristics of successful balloon dilation[J]. J Pediatr,2005,147(4):535-539.
[15] Goltz D,Lunkenheimer JM,Abedini M,et al. Left ventricular obstruction with restrictive inter-atrial communication leads to retardation in fetal lung maturation[J]. Prenat Diagn,2015,35(5):463-470.
[16] Jaeggi E,Renaud C,Ryan G. Intrauterine therapy for structural congenital heart disease:Contemporary results and canadian experience[J]. Trends Cardiovasc Med,2016,26(7):639-646.
[17] Gellis L,Drogosz M,Lu M,et al. Echocardiographic predictors of neonatal illness severity in fetuses with critical left heart obstruction with intact or restrictive atrial septum[J]. Prenat Diagn,2018,38(10):788-794.
[2] Chitra N,Vijayalakshmi IB. Fetal echocardiography for early detection of congenital heart diseases[J]. J Echocardiogr,2017,15(1):1-5.
[3] Moon-Grady AJ,Morris SA,Belfort M,et al. A worldwide collaborative description and preliminary outcomes[J]. J Am Coll Cardiol,2015,66(4):388-399.
[4] Maxwell D,Allan L. Balloon dilatation of the aortic valve in the fetus:Areportoftwocases[J].BrHeartJ,1991,65(5):256-258.
[5] Donofrio MT,Moon-Grady AJ,Hornberger LK,et al. Diagnosis and treatment of fetal cardiac disease:a scientific statement from the American Heart Association[J]. Circulation,2014,129(21):2183-2242.
[6]庞程程,潘微,张智伟,等.室间隔完整的严重肺动脉瓣狭窄或闭锁胎儿心脏介入治疗二例[J].中华儿科杂志,2018,56(6):445-450.
[7] Xing QS,Sun Y,Luo G,et al. Intrauterine intervention of pulmonary atresia at 26th gestational week[J]. Chin Med J(Engl),2018,131(23):2880-2881.
[8] Daubeney PE,Sharland GK,Cook AC,et al. Pulmonary atresia with intact ventricular septum:impact of fetal echocardiography on incidence at birth and postnatal outcome. UK and Eire Collaborative Study of Pulmonary Atresia with Intact Ventricular Septum[J]. Circulation,1998,98(6):562-566.
[9] Gómez ME,Herraiz I,Mendoza,et al. Fetal intervention in right outflow tract obstructive disease:selection of candidates and results[J]. Cardiol Res Pract,2012,(2012):592403.
[10] Tworetzky W,McElhinney DB,Marx GR,et al. In utero valvuloplasty for pulmonary atresia with hypoplastic right ventricle:Techniques and outcomes[J]. Pediatrics,2009,124(3):510-518.
[11] Tulzer A,Arzt W,Gitter R,et al. Immediate effects and outcome of in-utero pulmonary valvuloplasty in fetuses with pulmonary atresia with intact ventricular septum or critical pulmonary stenosis[J]. Ultrasound Obstet Gynecol,2018,52(2):230-237.
[12]延玲,熊鉴然.临床超声心动图学[M].北京:科学出版社,2014:498-501.
[13] McElhinney DB,Tworetzky W. Current status of fetal cardiac intervention[J]. Circulation,2010,121(10):1256-1263.
[14] Marshall AC,Tworetzky W,Bergersen L,et al. Aortic valvuloplasty in the fetus:technical characteristics of successful balloon dilation[J]. J Pediatr,2005,147(4):535-539.
[15] Goltz D,Lunkenheimer JM,Abedini M,et al. Left ventricular obstruction with restrictive inter-atrial communication leads to retardation in fetal lung maturation[J]. Prenat Diagn,2015,35(5):463-470.
[16] Jaeggi E,Renaud C,Ryan G. Intrauterine therapy for structural congenital heart disease:Contemporary results and canadian experience[J]. Trends Cardiovasc Med,2016,26(7):639-646.
[17] Gellis L,Drogosz M,Lu M,et al. Echocardiographic predictors of neonatal illness severity in fetuses with critical left heart obstruction with intact or restrictive atrial septum[J]. Prenat Diagn,2018,38(10):788-794.