在使用 LAmbre 装置通过皮肤关闭左心房附属体后,心周溢出
Yibo Yu1,2, Huimin Chu1,2, Binhao Wang1,2
1Arrhythmia Center, Ningbo First Hospital, The First Affiliated Hospital of Ningbo University, Ningbo, China.
Frontiers in cardiovascular medicine
|June 22, 2023
概括
在LAmbre装置植入后,为左心房附属物关闭 (LAAC) 进行心周溢出 (PE) 是不常见的. 充血性心力衰竭和较大的左心房附属体 (LAA) 孔径大小是PE的预测因素.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 心周溢血 (PE) 是一种罕见但严重的并发症,发生在皮肤穿左心房尾关闭 (LAAC) 后.
- 对于LAAC的LAmbre装置植入后的PE存在有限的数据.
研究的目的:
- 调查非膜心肌动 (AF) 患者的LAAC LAmbre装置植入后PE的发生率和预测因素.
主要方法:
- 对133名非膜AF患者的回顾性审查,这些患者使用LAmbre设备进行LAAC.
- 具有和没有PE的患者之间的临床和程序数据的比较.
- 后勤回归分析以确定PE预测因素.
主要成果:
- 在6名患者中发生PE (4.5%),其中3名急性 (≤7天) 和3名延迟 (>7天).
- 患有PE的患者患有充血性心力衰竭的发病率较高 (50.0%与13.4%) 和更大的LAA孔口 (33.5±6.0毫米与28.3±5.2毫米).
- 充血性心力衰竭 (OR=6.47) 和更大的LAA最大孔径 (OR=1.22) 与PE相关.
结论:
- 在LAAC的LAmbre装置植入后,急性和延迟的PE都不常见.
- 充血性心力衰竭和更大的LAA孔径大小是PE的重要预测因素.
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