术前和术后使用左心室尾闭塞装置进行抗凝治疗
Pradyumna Agasthi1, Sai Harika Pujari2
1Department of Cardiovascular Diseases, Mayo Clinic, Rochester, MN, USA.
Heart international
|July 17, 2023
概括
左心房尾阻塞是心房动和高出血风险的患者的另一种中风预防策略. 本综述涵盖了程序性抗凝药,并发症和与设备相关的血栓形成风险.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 心房动增加了中风的风险,这是由于左心房附属体的血栓形成.
- 抗凝药是预防中风的标准,但会带来出血的风险.
- 穿皮左心房尾闭塞 (LAAO) 为高风险患者提供了一个替代方案.
研究的目的:
- 在LAAO之后审查术前和术后的抗凝/抗血栓治疗.
- 讨论并发症,与设备相关的血栓形成和不完全封闭的风险.
- 为了确定文学限制和LAAO管理中的差距.
主要方法:
- 关于LAAO的当前研究的文献综述.
- 对抗凝血方案和结果的分析.
- 检查手术并发症率和血栓形成风险.
主要成果:
- 标准化的术前和术后的抗血栓策略对于LAAO的成功至关重要.
- 与设备相关的血栓形成和不完全封闭是需要监测的重大风险.
- 在LAAO后的最佳抗血栓治疗方案仍在研究中.
结论:
- 对于精选的心房动患者来说,LAAO是一种可行的中风预防选择.
- 必须仔细管理抗血栓治疗和监测并发症.
- 需要进一步的研究来优化LAAO协议和长期结果.
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