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经皮左心耳封堵预防中风:短期随访。

Prevention of stroke by percutaneous left atrial appendage closure: short term follow-up.

出版信息

Int J Cardiol. 2010 Jul 9;142(2):195-6. doi: 10.1016/j.ijcard.2008.11.112. Epub 2008 Dec 17.

DOI:10.1016/j.ijcard.2008.11.112
PMID:19095320
Abstract

Preliminary studies suggest that left atrial appendage (LAA) closure might be beneficial in the prevention of stroke in patients with atrial fibrillation (AF). We evaluated the preliminary clinical efficacy of percutaneous LAA closure using the PLAATO-device (ev3 Endovascular, Inc., North Plymouth, MN) and found that none of the patients suffered from thrombo-embolic events within a time period of 2 years after successful LAA closure. Therefore, we believe that percutaneous closure of the LAA might be a valuable technique for AF patients with contra-indications for or failure of oral anticoagulation to prevent thrombo-embolic events.

摘要

初步研究表明,左心耳(LAA)封堵可能有益于预防房颤(AF)患者的中风。我们评估了使用 PLAATO 装置(ev3 Endovascular,Inc.,North Plymouth,MN)经皮 LAA 封堵的初步临床疗效,发现成功封堵 LAA 后 2 年内无 1 例患者发生血栓栓塞事件。因此,我们认为对于有抗凝禁忌或口服抗凝失败的 AF 患者,经皮 LAA 封堵可能是一种有价值的技术,可预防血栓栓塞事件。

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引用本文的文献

1
Left atrial appendage occlusion for prevention of stroke in nonvalvular atrial fibrillation: a meta-analysis.左心耳封堵预防非瓣膜性心房颤动患者卒中:一项荟萃分析
J Interv Card Electrophysiol. 2015 Jun;43(1):79-89. doi: 10.1007/s10840-015-9988-1. Epub 2015 Feb 25.
2
Percutaneous left atrial appendage occlusion for stroke prevention in atrial fibrillation: an update.经皮左心耳封堵术预防心房颤动相关性卒中:更新。
Open Heart. 2014 Jun 6;1(1):e000020. doi: 10.1136/openhrt-2013-000020. eCollection 2014.
3
Cardioembolic stroke in atrial fibrillation-rationale for preventive closure of the left atrial appendage.
心房颤动相关性心源性脑栓塞——左心耳预防性封堵的理论基础。
Korean Circ J. 2009 Nov;39(11):443-58. doi: 10.4070/kcj.2009.39.11.443. Epub 2009 Nov 30.