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肺动脉损伤后内心心左心室尾闭塞:已知的和未知的

Aashish Katapadi¹, Jalaj Garg², Aditya Mansabdar¹

¹Kansas City Heart Rhythm Institute, Overland Park, Kansas, USA.

JACC. Clinical electrophysiology

|October 25, 2024

概括

肺动脉损伤 (PAI) 是左心房附带关闭 (LAAC) 的罕见并发症. 这次审查发现,PAI经常与心脏吸管发生并具有高死亡率,因此需要低怀疑门.

科学领域:

心脏病学心脏病学
干预心脏病学干预心脏病学
医疗器械并发症医疗器械并发症

背景情况:

左心房尾关闭 (LAAC) 是一种常见的中风预防替代方案,用于口服抗凝药的禁忌患者.
肺动脉损伤 (PAI) 是内心LAAC后的一个罕见但严重的并发症,现有的文献有限.

研究的目的:

系统地审查已发表的报告和FDA MAUDE数据库,以查找LAAC后的PAI病例.
了解与PAI相关的证据,机制,患者特征,结果和风险因素.

主要方法:

进行了系统的文献审查和对FDA MAUDE数据库的分析.
对已确定的PAI病例进行了审查,以了解患者的人口统计,程序细节,临床表现,管理和结果.
还审查了避免PAI的策略.

主要成果:

确定了36例PAI病例 (16例来自文学,20例来自MAUDE).
双密封装置 (75%) 和叶片闭塞装置 (19.4%) 常见的PAI,呈现为心脏吸管 (61.1%) 或在24小时内停止 (19.4%) (50%) 或更晚 (38.9%).
治疗包括手术 (52.8%) 或心周切割 (16.7%),死亡率高达33.3%.

结论:

在LAAC之后的PAI可以立即表现或延迟,强调需要低怀疑门.
在LAAC之后,血液动力学上显著的快速心周溢出应促使考虑PAI.

关键词:

护身符护身符护身符一个守望者,一个守望者.管管是一种管.伤害伤害伤害伤害伤害伤害伤害伤害伤害左心房附属体左心房附属体肺动脉中的肺动脉.

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