透皮左心室尾闭塞和相关并发症中的心声学
Ravi Thakker1, Mohammed Ali Faluk1, Shreyas Modi2
1Division of Cardiovascular Medicine, University of Texas Medical Branch, Galveston, Texas, USA.
Echocardiography (Mount Kisco, N.Y.)
|November 27, 2023
概括
在心房动 (AF) 患者中,往往会出现左心房尾 (LAA) 血栓. 心声学对于识别这些血栓和指导患者不能使用抗凝剂的左心房尾闭塞 (LAAO) 程序至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 心房动 (AF) 是一种广泛的疾病,与显著的发病率有关.
- 左心房附属体 (LAA) 是AF患者血栓栓塞的主要来源.
- 抗凝药是预防中风的标准药物,但在某些患者中是违禁的.
研究的目的:
- 审查回声心脏学在治疗经历LAA阻塞 (LAAO) 的AF患者中的实用性.
- 突出回声心脏学在患者选择,程序指导和LAAO的并发症检测中的作用.
主要方法:
- 本综述综合了有关LAAO的心声回声学应用的当前文献.
- 专注于跨食道心声学 (TEE) 和心内心声学 (ICE) 的发现.
- 讨论了LAA血栓检测和程序成功的成像标准.
主要成果:
- 心声学有效地识别LAA血栓,这是LAAO候选的关键因素.
- 程序内心声谱确保了设备的准确部署,并密封了LAA.
- 心声图有助于诊断和管理LAAO相关的并发症.
结论:
- 对LAAO来说,心声学是不可或缺的,从患者选择到术后评估.
- 优化心声回声技术可以提高LAAO的安全性和有效性.
- 进一步的研究可能会对LAAO成功的回声心脏学参数进行细化.
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