用AtriClip PRO2进行胸腔镜左心室尾闭塞:144名患者的经验
Edward Wang1, Paul Sadleir2, Vijay Sourinathan3
1Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, Perth, WA, Australia.
Heart, lung & circulation
|April 11, 2024
概括
使用AtriClip PRO2装置的胸腔镜左心房尾闭塞 (LAAO) 实现了100%的完全闭塞,没有重大并发症. 这种安全有效的方法在心房患者中降低中风风险方面表现有前途.
科学领域:
- 心血管外科心血管外科
- 医疗器械 医疗器械
- 最少侵入性手术的方法
背景情况:
- 左心房尾阻塞 (LAAO) 已被确立用于降低心房的中风风险.
- 穿皮LAAO设备面临着并发症和周围设备流动的挑战.
- 胸腔镜的AtriClip在骨上提供了心表关闭.
研究的目的:
- 用AtriClip PRO2设备评估胸腔镜LAAO的临床结果.
- 评估实现LAA完全关闭的安全性和有效性.
- 为了确定抗凝固药物停止后的血栓栓塞现象的发生率,单独使用AtriClip.
主要方法:
- 预期系列144个胸腔镜AtriClip PRO2手术 (56个独立,88个并发).
- 2017年至2022年期间由一名外科医生进行的手术.
- 从医院人类研究伦理委员会获得的伦理批准.
主要成果:
- 在完全关闭LAA时,观察到100%的成功率.
- 没有报告死亡率或重大疾病.
- 在抗凝药停止后,独立AtriClip患者的180个患者年随访中没有发生血栓栓塞现象.
结论:
- 胸腔镜AtriClip安置是安全有效的,用于一致的,完整的LAAO.
- 该程序显示出出色的临床结果.
- 进一步的随机试验是有必要的,以与皮肤穿器件进行比较.
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