通过皮肤关闭左心房尾以预防中风:当前挑战和未来前景
Carla Rochira1, Alessandro Mazzapicchi2, Salvatore Davide Tomasello3
1Division of Cardiology, Azienda Ospedaliero-Universitaria Policlinico "G. Rodolico - San Marco", University of Catania, Catania, Italy.
概括
穿皮左心房尾关闭 (LAAC) 为心房不适合抗凝药的患者提供中风预防. 本次审查审查了LAAC的情况.
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:
- 在全球范围内,中风是导致死亡和残疾的主要原因.
- 非膜性心房动增加了中风风险.
- 口服抗凝药是标准的,但并不总是可行的.
研究的目的:
- 审查皮肤穿左心房尾关闭 (LAAC) 的现状.
- 确定LAAC地区的挑战和未得到满足的需求.
- 提供关于这一中风预防战略的最新视角.
主要方法:
- 关于LAAC的当前文献和临床数据的审查.
- 对已批准和正在研究的LAAC设备进行分析.
- 讨论证据,不良事件和术后治疗.
主要成果:
- LAAC是一个正在发展的领域,有多种设备选项.
- 关键的挑战包括有限的高质量证据和晚期不良事件.
- 对于最佳的手术后抗血栓治疗存在不确定性.
结论:
- 在特定的患者群体中,穿皮LAAC是预防中风的重要替代方案.
- 需要进一步的研究来解决目前的局限性,并优化患者的结果.
- 该领域需要更强有力的证据和标准化的协议.
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