在左心房附属体不完全关闭后,用Watchman遗留设备植入护身符装置
Sung-Han Yoon1, Akram Y Elgendy1, Luis Augusto Palma Dallan1
1University Hospitals Cleveland Medical Center, Harrington Heart and Vascular Institute, Cleveland, Ohio, USA.
概括
这项研究介绍了Amulet设备,用于治疗左心房附属器关闭 (LAAC) 后的周围设备泄漏. 护身符设备成功封闭了持续的泄漏,为管理这种并发症提供了新的选择.
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:
- 左心房尾关闭 (LAAC) 是在心房动中预防中风的常见程序.
- 在LAAC之后,可能会发生周围设备泄漏,可能需要干预.
- 传统的治疗方法包括线圈,插头或额外的遮器.
研究的目的:
- 报告 Amulet 设备在之前的 LAAC 之后成功使用 Amulet 设备来治疗持续的周围设备泄漏.
- 突出解剖学评估对于管理LAAC并发症的重要性.
主要方法:
- 一个案例报告,一名80岁的男性在Watchman设备植入后持续出现周围设备泄漏.
- 诊断证实了经食道心电图和计算机断层扫描 (CT).
- 在全身麻醉下,使用22毫米的"护身符"装置成功关闭漏洞.
主要成果:
- 护身符设备成功部署,并完全封闭了周围设备的泄漏.
- CT成像显示,Watchman装置被放置在远距离,使左心房附属体 (LAA) 的很大一部分没有被覆盖.
- 护身符装置有效地解决了近邻LAA的泄漏问题.
结论:
- 在LAAC之后, Amulet设备是治疗周围设备泄漏的可行选择.
- 使用多模式成像进行彻底的术前规划和解剖评估对于最佳的LAAC结果至关重要.
- 仔细选择和放置设备可以最大限度地降低诸如设备周边泄漏和设备相关血栓等风险.
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