Yonsei University Health System, Seoul, Republic of Korea.
Can J Cardiol. 2013 Oct;29(10):1329.e1-1329.e3. doi: 10.1016/j.cjca.2012.09.016. Epub 2012 Dec 7.
While a left atrial appendage (LAA) occlusion device may reduce the risk of cardioembolic stroke in patients with nonvalvular atrial fibrillation, an antithromboembolic strategy for patients with an organized thrombus in the LAA is still unclear. The present case is the first report of percutaneous closing of an LAA and organized thrombus with a self-expandable LAA occlusion device without complication. This minimally invasive intervention is a potential treatment option in a patient with significant risk of recurrent thromboembolism.
虽然左心耳（LAA）封堵装置可能降低非瓣膜性心房颤动患者心源性卒中的风险，但对于 LAA 内有已形成血栓的患者，抗血栓栓塞策略仍不明确。本病例为首例经皮使用可扩张 LAA 封堵装置成功治疗 LAA 并发性血栓的报道，且无并发症发生。对于复发性血栓栓塞风险较高的患者，这种微创介入治疗可能是一种潜在的治疗选择。
