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Updated: Jul 26, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

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Published on: February 26, 2013

内心心电心声导向左心房附属体闭塞:通往独立的道路

André Grazina¹, António Fiarresga¹, Ruben Ramos¹

¹Cardiology Department, Hospital de Santa Marta, Lisbon, Portugal.

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology

|June 22, 2023

概括

心内回声学 (ICE) 导向的左心房附属物阻塞 (LAAO) 对高危患者是安全有效的. 由ICE指导的LAAO证明了与经食道心声学 (TEE) 指导的程序相比较的安全性和有效性.

科学领域:

心脏病学心脏病学
医疗器械医疗器械
干预程序干预程序

背景情况:

经食道心声学 (TEE) 是指导左心房尾闭塞 (LAAO) 的标准.
心内回声心脏成像 (ICE) 提供了潜在的优势,包括避免全身麻醉.
评估ICE在LAAO中的作用对于程序创新至关重要.

研究的目的:

评估ICE指导的LAAO的安全性,可行性和有效性.
将ICE指导的LAAO结果与预测的风险和TEE指导的程序进行比较.

主要方法:

回溯分析ICE指导的LAAO程序.
栓塞和出血事件与CHA 2 DS 2 -VASc和HAS-BLED分数的比较.
与一系列以TEE为指导的LAAO程序进行比较分析.

主要成果:

在ICE指导下,LAAO取得了93%的技术成功,主要并发症率为8.8%.
与预测得分相比,每年的中风和大出血率 (1.4%和8.4%) 是有利的.
在ICE和TEE指南之间没有观察到成功,并发症或不良事件的显著差异.

结论:

由ICE指导的LAAO是对患有中风和出血高风险的患者的一种安全有效的策略.
在可行性,安全性和有效性方面,ICE指导的LAAO与TEE指导的程序相美.

关键词:

心房动是一种心房动.内心心生理心电图 (Ecocardiogram) 在心脏内心生理心电图 (Intracardíacococardiogram) 中显示心脏生理心电图.封闭的附录耳朵左侧左侧耳膜纤维化耳膜纤维化内心心电回声心脏成像在心内心电回声心脏成像左心房附属体封闭的情况

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