皮肤吸血血栓切除术在患有持续左心室附属体血栓的患者中:一个病例系列
Carola Gianni1, Rodney P Horton1, Ganesh Nair2
1Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas, USA.
JACC. Clinical electrophysiology
|August 13, 2025
概括
穿皮吸血血栓切除术 (AT) 有效清除持续的左心房附属体 (LAA) 血栓,使LAA的成功关闭成为可能. 这种技术为那些不适合标准抗血栓治疗的患者提供了安全的替代方案.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 血栓形成的管理
背景情况:
- 持续的左心脏尾 (LAA) 血栓形成是一个挑战,特别是在对抗血栓治疗不耐药或有禁忌的患者中.
- 大型,移动的LAA血栓通常会因为栓塞风险而违反皮肤间的LAA闭合.
研究的目的:
- 描述通过皮肤吸血血栓切除术 (AT) 管理持续LAA血栓的经验.
- 评估AT的可行性和安全性,作为LAA关闭的序幕.
主要方法:
- 一个四个中心的病例系列,涉及连续22名患有持续LAA血栓的患者.
- 穿皮AT使用大孔导管 (≥12-F),手动 (注射器或AlphaVac) 或机械 (印第戈系统).
主要成果:
- 在所有患者中都取得了技术上的成功,LAA血栓的完全疏散.
- 随后的LAA关闭使用Watchman (n=21) 或Lariat (n=1) 设备成功执行.
- 没有报告AT相关的并发症.
结论:
- 在经验丰富的手中,穿皮AT接着LAA关闭是安全的和可行的.
- 这种方法为患有近端持续性LAA血栓瘤的患者提供了手术的替代方案.
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