左心房附属体封闭的光与阴影:注意知识上的差距,并考虑两次长期的结果
Luca Dell'Angela1, Gian Luigi Nicolosi2
1Cardio-Thoracic and Vascular Department, Cardiology Division, Gorizia & Monfalcone Hospital, ASUGI, Gorizia.
Journal of cardiovascular medicine (Hagerstown, Md.)
|March 13, 2024
概括
左心房尾阻塞是一种替代口服抗凝药,用于预防非膜心房患者的缺血性中风. 需要进一步的研究来解决长期的安全性,疗效和患者选择这种程序.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗器械 医疗器械
背景情况:
- 缺血性中风是一个主要的健康问题,心房动是显著的危险因素.
- 左心房附属体 (LAA) 血栓发生在90%的非膜心房动 (NVAF) 患者中,需要预防中风.
- 口服抗凝药是标准的,但LAA阻塞装置为选定的NVAF患者提供了替代方案.
结论:
- 目前在NVAF中对LAA封闭的指示有局限性和"盲点".
- 更全面的长期研究比较LAA封闭与口服抗凝药是必不可少的.
- 需要集成的注册表来收集关于设备安全性和有效性的可靠数据.
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