慢性脏病患者的横导管左心房附属体闭塞:系统性审查和元分析
Eduardo Flores-Umanzor1, Areeba Asghar2,3, Pedro L Cepas-Guillén4
1Toronto Congenital Cardiac Centre for Adults, Peter Munk Cardiac Centre, University Health Network, Toronto, ON, Canada.
概括
左心房附属体封闭 (LAAO) 可以预防慢性病 (CKD) 患者的中风. 然而,慢性病患者面临更高的出血和死亡风险,可能是由于并发症,而不是LAAO手术本身.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
- 干预心脏病学 干预心脏病学
背景情况:
- 慢性病 (CKD) 增加了中风风险,特别是在非膜心房动 (NVAF) 患者中.
- 由于出血风险,抗凝血在CKD中具有挑战性,使左心房尾闭塞 (LAAO) 成为潜在的替代方案.
结论:
- 在CKD患者中,LAAO似乎有效预防中风.
- 在CKD患者中,较高的不良结果可能源于并发症,特别是ESRD,而不是LAAO本身.
- 仔细的患者选择,管理和多学科监测对于接受LAAO的CKD患者至关重要.
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