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皮肤穿透的左心室尾阻塞:执业医生应该知道的内容

Pierluigi Merella¹, Giuseppe Talanas¹, Giovanni Lorenzoni¹

¹Department of Cardiology, Azienda Ospedaliero Universitaria di Sassari Sassari, Italy.

European cardiology

|October 20, 2023

概括

非膜性心房动 (AF) 增加了中风风险. 左心房尾阻塞 (LAAO) 为无法因出血风险而服用口服抗凝剂的患者提供非药物替代方案.

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:

非膜性心房动 (AF) 是一种普遍的疾病,与较高的血栓栓塞事件风险有关.
口服抗凝剂治疗 (OAT) 是AF管理的标准,但由于出血风险,在一些患者中禁用.
左心房附属体是AF中血栓的主要来源,促使替代性中风预防策略.

研究的目的:

审查目前对左心室尾闭塞 (LAAO) 的理解和临床考虑.
强调LAAO作为在特定AF患者群体中降低中风风险的非药物选择.

主要方法:

本综述综合了有关LAAO程序的当前文献和临床观点.
专注于LAAO作为OAT的替代品,用于有禁忌的患者.

主要成果:

左心房尾阻塞 (LAAO) 是一种新兴的,有效的替代方案,用于预防心血管栓塞事件.
对LAAO手术的需求正在迅速增加,这表明临床采用越来越多.

结论:

对非膜AF患者和对OAT的禁忌而言,LAAO是一种可行的非药物治疗策略.
临床医生应考虑LAAO在管理高风险AF患者时,这些患者不能耐受抗凝药.

关键词:

在 AF AF AF AF 的位置上.流血出血流血出血高出血风险的高出血风险.左心房附属体的封闭性闭塞

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