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左心耳封堵术:在无法耐受口服抗凝药时,房颤治疗的一种新选择。

Left atrial appendage closure: An emerging option in atrial fibrillation when oral anticoagulants are not tolerated.

作者信息

Peritz David C, Chung Eugene H

机构信息

Department of Medicine/Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. E-mail:

Associate Professor of Medicine, Division of Cardiology, Cardiac Electrophysiology, University of North Carolina School of Medicine, Chapel Hill, NC, USA.

出版信息

Cleve Clin J Med. 2015 Mar;82(3):167-76. doi: 10.3949/ccjm.82a.14117.

Abstract

Atrial fibrillation is associated with a risk of stroke, primarily from embolization of clots that form in the left atrial appendage. This structure has been targeted to reduce stroke risk in patients who have contraindications to oral anticoagulation. This article appraises the current literature describing surgical and percutaneous isolation of the left atrial appendage.

摘要

心房颤动与中风风险相关,主要源于左心耳形成的血栓栓塞。对于口服抗凝治疗有禁忌证的患者,该结构已成为降低中风风险的靶点。本文评估了描述左心耳外科和经皮隔离术的现有文献。

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