关键词: atrial fibrillation bleeding risk left atrial appendage occlusion surgical left atrial appendage exclusion

来  源:   DOI:10.31083/j.rcm2305155   PDF(Pubmed)

Abstract:
Several studies in literature have shown that 90% of emboli related to non-valvular atrial fibrillation originate from left atrial appendage. Percutaneous closure or surgical exclusion of left atrial appendage in patients with high bleeding and high cardioembolic risk is currently a well established procedure in literature, clinical practice and guidelines. Knowledge of different techniques of left atrial appendage closure is necessary to individualize the procedure according to the patient anatomy and pre-procedural imaging evaluations. In this review the authors will evaluate different left atrial appendage closure systems and the different pre and intra procedural imaging methods.
摘要:
文献中的几项研究表明,与非瓣膜性心房颤动相关的栓塞中有90%起源于左心耳。目前,在文献中,高出血和高心源性栓塞风险患者的左心耳经皮封堵术或手术排除术是一种行之有效的方法。临床实践和指南。了解不同的左心耳封堵技术是必要的,以根据患者的解剖结构和术前影像学评估个性化的程序。在这篇综述中,作者将评估不同的左心耳闭合系统以及不同的术前和术中成像方法。
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