Nakamura Mamoo, Kar Saibal
Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA; Interventional Cardiac Research, Heart Institute, Cedars-Sinai Medical Center, UCLA, 8631 West Third Street, Room 415E, Los Angeles, CA 90048, USA.
Interv Cardiol Clin. 2013 Jan;2(1):225-234. doi: 10.1016/j.iccl.2012.09.007. Epub 2012 Dec 3.
The left atrial appendage is a primary source of thrombi in patients with nonvalvular atrial fibrillation. Transcatheter left atrial appendage occlusion/exclusion is a novel technology with the potential as an alternative approach for lifelong anticoagulation to prevent potential catastrophic embolic stroke. This article discusses important evaluation, procedural steps, and the clinical data for left atrial appendage closure.
左心耳是无瓣膜性心房颤动患者血栓的主要来源。经导管左心耳封堵/排除术是一项新技术,有可能作为终身抗凝的替代方法,以预防潜在的灾难性栓塞性中风。本文讨论了左心耳封堵的重要评估、操作步骤及临床数据。