Feldman Ted, Nazari Jose
Cardiology Division, NorthShore University HealthSystem, Evanston, Illinois.
Catheter Cardiovasc Interv. 2018 Feb 1;91(2):362-363. doi: 10.1002/ccd.27504.
Left atrial appendage occlusion using the Amulet device can be accomplished with fluoroscopic and intra-cardiac echo (ICE) imaging for guidance, obviating the need for general anesthesia and trans-esophageal echo. The ICE device can be placed directly into the left atrium, parallel to the occluder delivery system, using a single transseptal puncture, rather than via double transseptal puncture. The ideal methods for left atrial appendage imaging and procedure guidance have yet to be defined. The utility of CT evaluation is increasingly recognized. The emergence of three-dimensional ICE is likely to further our progress along the path of simplifying the LAAO procedure.
使用Amulet装置进行左心耳封堵可在荧光透视和心内超声（ICE）成像引导下完成，无需全身麻醉和经食管超声。ICE装置可通过单次房间隔穿刺直接放入左心房，与封堵器输送系统平行，而不是通过双房间隔穿刺。左心耳成像和手术引导的理想方法尚未确定。CT评估的效用越来越受到认可。三维ICE的出现可能会进一步推动我们在简化左心耳封堵术方面取得进展。
