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当日病例:在Amplatzer心脏封堵器左心耳封堵器延迟栓塞后取出介入装置

Catch of the day: interventional device retrieval after late embolization of an Amplatzer cardiac plug left atrial appendage occluder.

作者信息

Tiyerili Vedat, Nickenig Georg, Hammerstingl Christoph

机构信息

Department of Medicine II, Heart Centre Bonn, University Hospital Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Germany.

出版信息

Clin Res Cardiol. 2015 Dec;104(12):1106-8. doi: 10.1007/s00392-015-0887-3. Epub 2015 Jul 22.

DOI:10.1007/s00392-015-0887-3
PMID:26199065
Abstract

Transcatheter left atrial appendage (LAA) closure has proven to be an effective method to reduce the risk of thromboembolic events in patients who have nonvalvular atrial fibrillation (AF) that is unsuitable for chronic oral anticoagulation. In this case report, we describe the rare case of a late LAA occluder (28-mm Amplatzer cardiac plug) embolization, which was treated uneventfully with interventional device capture. Special interventional and device specific characteristics must be taken into account when planning such a complex procedure as described in our case.

摘要

经导管左心耳(LAA)封堵术已被证明是一种有效的方法,可降低不适合长期口服抗凝治疗的非瓣膜性心房颤动(AF)患者发生血栓栓塞事件的风险。在本病例报告中,我们描述了一例罕见的晚期LAA封堵器(28毫米Amplatzer心脏封堵器)栓塞病例,该病例通过介入器械捕获得到了顺利治疗。在规划我们病例中所描述的如此复杂的手术时,必须考虑特殊的介入和器械特定特征。

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本文引用的文献

1
Early results of first versus second generation Amplatzer occluders for left atrial appendage closure in patients with atrial fibrillation.第一代和第二代 Amplatzer 封堵器用于房颤患者左心耳封堵的早期结果。
Clin Res Cardiol. 2015 Aug;104(8):656-65. doi: 10.1007/s00392-015-0828-1. Epub 2015 Mar 4.
2
Very late cardiac tamponade following successful transcatheter closure of an atrial septal defect with the Amplatzer septal occluder.使用Amplatzer房间隔封堵器成功经导管闭合房间隔缺损后出现的极晚期心脏压塞。
Clin Res Cardiol. 2015 Jun;104(6):530-3. doi: 10.1007/s00392-015-0829-0. Epub 2015 Feb 27.
3
Embolization of left atrial appendage closure devices: A systematic review of cases reported with the watchman device and the amplatzer cardiac plug.
左心耳封堵装置的栓塞:对使用Watchman装置和Amplatzer心脏封堵器报告病例的系统评价。
Catheter Cardiovasc Interv. 2015 Jul;86(1):128-35. doi: 10.1002/ccd.25891. Epub 2015 Feb 25.
4
EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion.EHRA/EAPCI关于基于导管的左心耳封堵术的专家共识声明。
Europace. 2014 Oct;16(10):1397-416. doi: 10.1093/europace/euu174. Epub 2014 Aug 29.
5
Uncommon delayed and late complications after percutaneous left atrial appendage closure with Amplatzer(®) Cardiac Plug.使用Amplatzer(®)心脏封堵器经皮左心耳封堵术后罕见的延迟和晚期并发症
Clin Res Cardiol. 2014 Apr;103(4):285-90. doi: 10.1007/s00392-013-0648-0. Epub 2013 Dec 6.
6
Percutaneous left atrial appendage closure with the AMPLATZER cardiac plug device in patients with nonvalvular atrial fibrillation and contraindications to anticoagulation therapy.经皮左心耳封堵术联合 AMPLATZER 心脏封堵器治疗非瓣膜性心房颤动并伴有抗凝治疗禁忌的患者。
J Am Coll Cardiol. 2013 Jul 9;62(2):96-102. doi: 10.1016/j.jacc.2013.02.089. Epub 2013 May 9.
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Transcatheter closure of left ventricular free wall rupture with Amplatzer atrial septal defect occluder.使用Amplatzer房间隔缺损封堵器经导管闭合左心室游离壁破裂。
Clin Res Cardiol. 2013 Apr;102(4):313-4. doi: 10.1007/s00392-012-0524-3. Epub 2012 Nov 30.