左心房附属体封闭的临床结果和程序内特征:单封闭式插头类型和双封闭式盘类型装置之间的比较
Uwe Primessnig1,2,3, Helene Schrader1,2, Julia M Wiedenhofer1,2,3
1Deutsches Herzzentrum der Charité, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow Klinikum, Berlin, Germany.
Frontiers in cardiovascular medicine
|August 2, 2024
概括
左心房尾阻塞 (LAAO) 是心房动 (AF) 患者的一种安全有效的中风预防方法. 这项研究发现,在六个月的时间里,单封闭式插头类型设备和双封闭式磁盘类型设备之间的重大并发症没有显著差异.
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 医疗器械
背景情况:
- 穿皮左心房尾闭塞 (LAAO) 为心房动 (AF) 患者的中风预防提供了可靠的替代方案.
- 这项研究评估了LAAO设备在现实临床环境中的安全性和有效性.
研究的目的:
- 为了比较单封闭式插头类型 (SOPT) 与双封闭式磁盘类型 (DODT) 设备的安全性和有效性,用于LAAO.
- 评估接受LAAO的患者的手术结果和并发症.
主要方法:
- 一项回顾性观察性研究包括了149名在2016年至2022年期间接受LAAO的患者.
- 在SOPT和DODT设备组之间比较了患者特征,手术细节和术后结果.
- 进行了6个月的随访,以评估设备位置,血栓形成和并发症.
主要成果:
- 设备植入在所有患者中都是成功的,没有在医院死亡或血栓塞栓事件.
- 双闭盘类型 (DODT) 装置植入程序显著更长 (49分钟与41分钟相比).
- 与设备相关的血栓形成发生在SOPT组的5.7%,而DODT组的0% (p=0.11). 血栓塞栓事件发生在3.1%的患者中,设备类型之间没有显著差异.
结论:
- 左心房尾闭塞 (LAAO) 证明了高的程序成功率和安全性,无论使用的设备类型.
- 在6个月的随访期间,没有观察到任何重要的程序或设备相关并发症.
- 无论是SOPT和DODT设备都有效预防AF患者的中风,SOPT设备的漏水和出血并发症趋势较少.
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