Subramaniam Kathirvel, Ibarra Andrea, Boisen Michael L
1 University of Pittsburgh, Pittsburgh, PA, USA.
Semin Cardiothorac Vasc Anesth. 2019 Jun;23(2):248-255. doi: 10.1177/1089253218758463. Epub 2018 Feb 27.
In this report, we provided details of periprocedural echocardiographic guidance for patients undergoing Amplatzer-Amulet device left atrial closure. Familiarity with left atrial appendage (LAA) occlusion devices and the required left atrial examination and measurements are key before device placement. Device placement is assisted by transesophageal echocardiography (TEE) and fluoroscopy, but TEE will be the main guide for patients with renal insufficiency in whom contrast dye use needs to be minimal. TEE is also used to confirm LAA occlusion with the device and finally detect complications throughout the procedure and into the postoperative period.
在本报告中，我们提供了接受Amplatzer - Amulet装置左心房闭合术患者围手术期超声心动图指导的详细信息。在放置装置前，熟悉左心耳（LAA）封堵装置以及所需的左心房检查和测量是关键。装置放置由经食管超声心动图（TEE）和荧光透视法辅助，但对于需要尽量减少造影剂使用的肾功能不全患者，TEE将是主要指导手段。TEE还用于确认装置封堵LAA的情况，并最终在整个手术过程及术后期间检测并发症。
