为优化LAA关闭提供可引导的交付外:第一个经验和程序结果
Matthias Mezger1,2, Christina Paitazoglou1,2, Christian Frerker1,2
1Department of Cardiology, Angiology and Intensive Care Medicine, University Heart Center Lübeck, Lübeck, Germany.
概括
阿姆普拉茨器可导向输送罩提供了一种可行且安全的方法来关闭左心房附属体 (LAAC). 虽然最初的使用显示了学习曲线,但程序成功率仍然很高,这表明它有改善LAAC程序的潜力.
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:
- 左心房尾关闭 (LAAC) 对于心房的患者中风预防至关重要.
- 安普拉特泽护身符设备被广泛用于LAAC.
- 交付系统的进步旨在提高LAAC程序的效率和结果.
研究的目的:
- 为了比较使用 Amulet 设备与新型 Amplatzer 可向导输送罩对比标准罩的 LAAC 的程序结果.
- 评估可行性,安全性和与可转向外相关的学习曲线.
主要方法:
- 一个回顾性分析,对32名用可转向罩治疗的患者和39名用标准罩治疗的对照患者进行了分析.
- 两个小组都通过 Amulet 装置获得了 LAAC.
- 评估了程序的成功,对比度的使用,光学时间和并发症率.
主要成果:
- 100%的LAAC成功率在可转向和对照组.
- 在可转向罩组中,使用比较高的对比度和光镜时间,这表明了初始的学习曲线.
- 在两组中,高完全密封率 (97%对95%) 和低周围手术并发症率.
结论:
- 带有AMPLATZER AMULET的LAAC可导向的输送是可行的和安全的.
- 可转向的外展示了一个学习曲线,有未来程序优化的潜力.
- 该设备显示了改善LAAC程序的希望.
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