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经食管线性内镜超声检查发现左心耳血栓。

Left atrial appendage thrombus detected by transesophageal examination with linear endoscopic ultrasound.

作者信息

Ikezawa Kenji, Shigekawa Minoru, Sengoku Kaoruko, Yoshioka Teppei, Sakamori Ryotaro, Sakata Yasushi, Takehara Tetsuo

机构信息

Department of Gastroenterology and Hepatology Osaka University Graduate School of Medicine Suita Japan.

Department of Cardiovascular Medicine Osaka University Graduate School of Medicine Suita Japan.

出版信息

Clin Case Rep. 2019 May 28;7(7):1327-1330. doi: 10.1002/ccr3.2223. eCollection 2019 Jul.

DOI:10.1002/ccr3.2223
PMID:31360478
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6637345/
Abstract

Linear endoscopic ultrasound (L-EUS) is mainly performed to assess pancreaticobiliary and mediastinal diseases. In this report, transesophageal observation with L-EUS revealed an LAA thrombus that was not detected by transthoracic echocardiography. This report highlights a novel potential role for L-EUS in the detection of cardiovascular diseases including LAA thrombi.

摘要

线性内镜超声(L-EUS)主要用于评估胰胆和纵隔疾病。在本报告中,经食管L-EUS观察发现了经胸超声心动图未检测到的左心耳(LAA)血栓。本报告强调了L-EUS在检测包括LAA血栓在内的心血管疾病方面的一种新的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53a/6637345/df94a3b4c7d4/CCR3-7-1327-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53a/6637345/af5557e901f6/CCR3-7-1327-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53a/6637345/f99493e89cfb/CCR3-7-1327-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53a/6637345/df94a3b4c7d4/CCR3-7-1327-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53a/6637345/af5557e901f6/CCR3-7-1327-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53a/6637345/f99493e89cfb/CCR3-7-1327-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c53a/6637345/df94a3b4c7d4/CCR3-7-1327-g003.jpg

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本文引用的文献

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Outcomes for Atrial Fibrillation Patients with Silent Left Atrial Thrombi Detected by Transesophageal Echocardiography.经食管超声心动图检测出的隐匿性左心房血栓的心房颤动患者的预后。
Am J Cardiol. 2017 Sep 15;120(6):940-946. doi: 10.1016/j.amjcard.2017.06.022. Epub 2017 Jun 29.
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Left Atrial Appendage Thrombi Formation in Japanese Non-Valvular Atrial Fibrillation Patients During Anticoagulation Therapy - Warfarin vs. Direct Oral Anticoagulants.日本非瓣膜性心房颤动患者抗凝治疗期间左心耳血栓形成——华法林与直接口服抗凝剂的比较
Circ J. 2017 Apr 25;81(5):645-651. doi: 10.1253/circj.CJ-16-1089. Epub 2017 Feb 7.
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内镜超声引导下的组织获取:如何做到卓越。
Dig Endosc. 2017 May;29(4):417-430. doi: 10.1111/den.12823. Epub 2017 Mar 22.
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Evaluation and Endoscopic Management of Esophageal Submucosal Tumor.食管黏膜下肿瘤的评估与内镜治疗
Clin Endosc. 2017 May;50(3):250-253. doi: 10.5946/ce.2016.109. Epub 2016 Nov 7.
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The role of endoscopic ultrasound in the diagnosis of gallbladder diseases.内镜超声在胆囊疾病诊断中的作用。
J Med Ultrason (2001). 2017 Jan;44(1):63-70. doi: 10.1007/s10396-016-0742-9. Epub 2016 Sep 12.
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The Use of Standard Gastrointestinal Endoscopic Ultrasound to Assess Cardiac Anatomy.
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