WATCHMEN:一个案例报告强调了使用两个WATCHMAN-FLX设备关闭双节左心房附属体的情况
Abhinav Sood1, Jagadeesh K Kalavakunta1, Venu Gourineni2
1Department of Interventional Cardiology, Ascension Borgess Hospital, GOC 331, 1521 Gull Road, Kalamazoo, MI 49048, USA.
European heart journal. Case reports
|December 14, 2023
概括
穿皮左心房尾封闭 (LAAO) 可以预防中风,但有时需要两种设备来进行复杂的解剖. 这一案例证明了使用两个WATCHMANTM FLX设备成功关闭了双节LAA.
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:
- 穿皮左心房尾封闭 (LAAO) 是一种关键的中风预防策略,可以作为抗凝药的替代品.
- 虽然有效,单个LAAO设备在复杂的左心房附属体 (LAA) 解剖的情况下可能无法实现最佳的关闭.
- 在LAA的解剖学变化可能会带来挑战,以完全封闭标准程序.
研究的目的:
- 报告成功使用两种LAAO设备来关闭具有大型骨的双节LAA.
- 为了说明在具有挑战性的LAA解剖学中实现最佳闭合的技术.
- 为了解决围绕双设备LAAO的有限证据和技术专业知识.
主要方法:
- 在患有双节LAA的患者中使用了两台LAAO的WATCHMANTM FLX设备.
- 采用双技术,以方便设备放置.
- 借助过食道成像进行精确的解剖评估和设备指导.
主要成果:
- 实现了复杂的双节LAA的成功和最佳关闭.
- 在具有挑战性的解剖学场景中展示了使用两个LAAO设备的可行性.
- 突出了通过食道成像在指导复杂的LAAO程序中的作用.
结论:
- 双设备LAAO是一种可行的策略,可以在复杂的LAA解剖学中实现最佳的闭合,例如双叶结构.
- 双盖技术和精细的成像指导对于成功的双设备LAAO至关重要.
- 进一步的研究和技术开发是有必要的,以扩大双设备LAAO的应用.
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