[左心房附属体保护迷宫过程的长期结果]
Kazuo Yamanaka1, Takeshi Nishina, Yuji Sekine
1Department of Cardiovascular Surgery, Nara Prefecture General Medical Center, Nara, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|March 9, 2024
概括
左心房附属体 (LAA) 保存迷宫程序是安全的预防中风心房动 (Af) 患者当管理与适当的药物治疗. 密切监测对于最佳结果至关重要.
科学领域:
- 心血管外科心血管外科
- 电子生理学 电子生理学
- 心脏节律失常症 心脏节律失常症
背景情况:
- 前庭动 (Af) 的管理通常涉及恢复鼻节律的程序.
- 在迷宫手术过程中保护左心房附属体 (LAA) 是一种不断发展的外科手术方法.
- 了解LAA保护迷宫对血栓栓塞事件和心房功能的影响至关重要.
研究的目的:
- 评估LAA维护迷宫程序的结果.
- 评估血栓形成的发生率,左心房 (LA) 功能和术后中风.
- 为了确定LAA的保存是否是脑梗塞的危险因素.
主要方法:
- 对131名接受Af迷宫手术的患者进行了回顾性研究 (2008-2020年).
- 持续性Af (n=116) 的完整迷宫,对偏激性Af (n=15) 的肺静脉隔离.
- 平均随访时间为2.9年.
主要成果:
- 没有术后死亡,脑梗塞或重复手术.
- 鼻腔节律长期维持 (92%在出院时,77%在10年后).
- 尽管服用抗凝血药物,但一名患者在术后发生了脑梗塞;没有其他病例.
结论:
- 保护LAA迷宫程序与适当药物治疗的脑梗塞风险增加无关.
- 通过这种技术,可以有效地管理心房动和预防中风.
- 手术后需要定期对患者进行监测.
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