守望者与护身符对左前庭关闭:目前的证据和未来的前景
Marco Frazzetto1, Claudio Sanfilippo1, Giuliano Costa1
1Division of Cardiology, A.O.U. Policlinico "G. Rodolico San Marco", 95123 Catania, Italy.
Journal of clinical medicine
|August 29, 2024
概括
使用Amulet和Watchman设备的左心房尾关闭 (LAAC) 在非膜性心房动患者中提供了可比的预防中风的有效性和安全性. 这两种LAAC器件都是适合那些无法耐受口服抗凝药的人的替代品.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 预防中风 预防中风
背景情况:
- 在不能使用长期抗凝药的非膜性心房动 (NVAF) 患者中,左心房尾关闭 (LAAC) 对于预防中风至关重要.
- 护身符和守望者是全球领先的LAAC设备.
研究的目的:
- 为 LAAC 综合比较 Amulet 与 Watchman 设备的疗效,安全性和结果.
- 评估短期和长期结果,包括周围设备泄漏,血栓形成和死亡率.
主要方法:
- 对Amulet和Watchman LAAC设备的临床数据进行比较的综述.
- 分析疗效,安全性,手术内并发症和长期结果.
主要成果:
- "护身符"和"守望者"都显示了LAAC的类似的疗效和安全性.
- 虽然手术过程中的并发症率可能有所不同,但短期和长期的结果是可比的.
- 这两种设备均适用于无法耐受口服抗凝剂 (OAC) 的患者.
结论:
- Amulet和Watchman为LAAC提供了类似的疗效和安全性,作为OAC可行的替代品.
- 目前正在进行的研究旨在将LAAC确立为心房动 (AF) 中的主要中风预防策略.
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