左心房附属体:一个神秘的朋友或敌人,以及关闭的含义
John-Michael Benson1, Jacob Keesee1, Lincoln Smith1
1Grand Strand Medical Center, Department of Internal Medicine, Myrtle Beach, SC, United States.
Current problems in cardiology
|May 8, 2024
概括
左心房附属体 (LAA) 关闭可以降低心房患者中风风险. 本综述探讨了LAA的功能,关闭方法,并建议个性化患者选择LAA关闭而不是抗凝药.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 医疗器械技术 医疗器械技术
背景情况:
- 左心房附属体 (LAA) 在心房动 (A-fib) 中与凝块形成有关.
- 抗凝药是预防中风的标准,但会带来出血的风险.
- 在凝块形成之外,LAA具有独特的解剖功能.
研究的目的:
- 阐明LAA的功能角色.
- 为了比较现有的LAA关闭技术.
- 提出一种基于并发症的新方法来选择患者进行LAA关闭.
主要方法:
- 关于LAA解剖学和生理学的综合文献综述.
- 皮肤内心,上心关闭和手术剪切方法的比较分析.
- 基于并发症的患者选择框架的开发.
主要成果:
- 该LAA具有独特的解剖特征,有助于心脏功能.
- 不同的LAA闭合方法为降低中风风险提供了抗凝药的替代方案.
- 在LAA关闭后的生理变化需要进一步调查.
结论:
- 关闭LAA是一种可行的策略,用于预防精选心房动患者的血栓栓塞事件.
- 对LAA关闭的个性化患者选择应考虑并发症.
- 需要进一步的研究来优化LAA关闭的指示,并了解术后的生理影响.
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