用WATCHMAN设备重新进行最小侵入性的LAA关闭
Maris Bartkevics1, Fabio Pregaldini1, Lorenz Räber2
1Department of Cardiac Surgery, Inselspital, Bern University Hospital, Switzerland.
Multimedia manual of cardiothoracic surgery : MMCTS
|June 24, 2025
概括
本教程展示了在标准方法失败时使用WATCHMAN设备进行最小侵入性左心房附属体 (LAA) 关闭. 它为以前有心脏手术史的患者提供了一个替代方案.
科学领域:
- 心脏病学 心脏病学
- 医疗器械 医疗器械
- 最少侵入性的手术
背景情况:
- 左心房附属体 (LAA) 关闭对于预防心房的患者中风至关重要.
- 抗凝固疗法是标准治疗方法,但可能会失败或适用.
- 之前的心脏手术可能会使标准的LAA关闭程序复杂化.
研究的目的:
- 为了证明使用WATCHMAN设备在患有心脏手术史的患者中关闭LAA的可行性.
- 当标准设备不适合时,提供替代的LAA关闭方法.
主要方法:
- 通过导管植入FDA和EMA批准的WATCHMAN设备的视频演示.
- 在患者之前进行过心脏手术,而AtriClip设备植入是不可行的情况下,进行的手术.
主要成果:
- 成功植入了用于LAA关闭的WATCHMAN设备.
- 在复杂的病例中证明了手术关闭LAA的可行替代方案.
结论:
- WATCHMAN设备为之前心脏手术的患者提供了安全有效的LAA关闭替代方案.
- 当标准方法是禁忌或在技术上具有挑战性时,可以考虑使用WATCHMAN进行最少侵入性的LAA关闭.
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