穿皮式左心房关闭装置的栓塞:时间,管理和临床结果
Sophie Eppinger1, Kerstin Piayda2, Roberto Galea3
1CardioVascular Center (CVC) Frankfurt, Frankfurt, Germany.
概括
左心房附属体 (LAA) 阻塞栓塞是一种严重的并发症,通常发生在早期. 皮肤取是首次尝试的首选方法,但重复尝试会显著增加死亡风险.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 医疗器械并发症 医疗器械并发症
背景情况:
- 左心房附属体 (LAA) 封闭装置栓塞是一种罕见但严重的并发症.
- 了解LAA阻塞栓塞的时间,管理和结果对于患者的安全至关重要.
研究的目的:
- 描述LAA封闭装置栓塞的时间,管理策略和临床结果.
- 分析化LAA装置的不同检索方法的有效性和风险.
主要方法:
- 从一个多中心注册表收集回顾性数据.
- 包括患者的特征,成像发现,程序细节和后续数据.
- 设备栓塞的分类根据时间,管理和临床结果.
主要成果:
- 设备栓塞发生在67个中心的108名患者身上,其中70.4%发生在24小时内.
- 在75.0%的病例中,皮肤取是最初的方法;在21.3%的病例中,进行了手术.
- 观察到高死亡率,特别是在第一次取回尝试和随后的第二次尝试失败后 (21.4%对2.9%).
结论:
- 大多数LAA封闭栓塞发生在手术后的早期.
- 虽然通过皮肤检索是首选的第一线治疗方法,但重复尝试与明显更高的死亡率有关.
- 包括死亡在内的重大不良事件的高率凸显了这种并发症的严重性.
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