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Objective:To evaluate the feasibility of transcatheter atrial septal defect(ASD) closure with deficient rim.Methods:From January 2017 to November 2019, patients at the Department of Pediatric Cardiology, Chengdu Women′s and Children′s Central Hospital were diagnosed as the secondary ASD and divided into 2 groups based on whether it has deficient rim[the deficient rim group (experimental group) and non deficient rims group (control group)]. The complications should be followed for 1-2 years.Results:A total of 66 patients, including 17 males (25.8%) and 49 females (74.2%), had the median age of 4 years and 2 months (2 years and 1 month-16 years), and the median body mass was 15.0 kg, ranging from 9.0 kg to 60.0 kg, with 23 cases (34.8%) in the experimental group and 43 cases (65.1%) in the control group.There were no statistically significant differences in gender, age, body weight, size of ASD, fluoroscopic dose, electrocardiogram, and pulmonary artery pressure between the two groups (all P>0.05). The immediate success rate was 95.4%(63/66 cases). There were no statistically significant differences between the surgical success rate [91.3%(21/23 cases) vs.97.6%(42/43 cases)] and the incidence of residual shunt [30.4%(7/23 cases) vs.16.2%(7/43 cases)](all P>0.05). And there were no statistically significant differences of the incidence of residual shunt between groups at each follow-up point ( P>0.05). No arrhythmia occurred in the experimental group during follow-up, and 1 case of atrioventricular block in the control group persisted until the time of publication.A total of 4 cases of frequent atrial premature beats or non-paroxysmal atrial tachycardia returned to normal at the follow-up node 6 months after intervention. Conclusions:Under the selection of appropriate cases and skilled catheter technology, the transcatheter treatment of ASD in children with deficient rims is feasible.
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Objective:To draw a mapping knowledge domains of research status and trend in counseling and psychotherapy field from 2001 to 2014 by Bicomb software.Methods:CNKI,Wan Fang,VIP were searched and re-trieval time ranged from January 1,2001 to December 31,2014.Bicomb and SPSS20.0 software were applied to conduct co-word matrix,similarity matrix and multidimensional scaling.Results:Setting 30 and more as the fre-quency standard,60 high frequency keywords were abstracted after analyzing 6546 articles.Cluster analysis showed that studies about counseling and psychotherapy mainly focus on seven categories including the effectiveness of counseling and psychotherapy,children and adolescents'mental health and counseling,the localization of counseling and psychotherapy,the process of counseling and psychotherapy,counseling and treatment principles,relationships of psychotherapy and ideological work in colleges as well as theories and practices in counseling and psychotherapy field.The mapping knowledge domain showed that four aspects of high frequency keywords in counseling and psy-chotherapy field basically correspond to the 7 categories made by cluster analysis.Conclusions:The present study demonstrates that psychological counseling and treatment development of our country is still in the stage of investi-gating effect.Future researches should attach importance to the integration research of psychological counseling and ideological and political education in colleges,the rise and development of internet psychological counseling and the development of children and adolescent mental health.