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经导管主动脉瓣置换术、MitraClip、经皮冠状动脉介入治疗和房颤消融术患者的左心耳封堵:优化长期患者结局。

Left Atrial Appendage Occlusion for Patients with Transcatheter Aortic Valve Replacement, MitraClip, Percutaneous Coronary Intervention, and Ablation for Atrial Fibrillation: Optimizing Long-Term Patient Outcomes.

机构信息

Interventional Cardiology, Cleveland Clinic, 9500 Euclid Avenue, Desk J2-3, Cleveland, OH 44113, USA.

Cardiac Electrophysiology, Cleveland Clinic, Cleveland, OH, USA.

出版信息

Card Electrophysiol Clin. 2020 Mar;12(1):117-124. doi: 10.1016/j.ccep.2019.11.006.

Abstract

Interventional cardiologists and electrophysiologists perform various procedures to improve the quality and longevity of life. The mitigation of stroke risk in patients with atrial fibrillation may be ignored when considering other more acute or urgent situations, such as severe coronary or valvular heart disease requiring treatment or symptomatic atrial fibrillation necessitating ablation. However, we must keep this long-term stroke risk in mind to optimize patients' overall outcomes. Percutaneous left atrial appendage occlusion is an important option in those who present with high stroke and bleeding risk. Ongoing studies will help provide objective data in this arena.

摘要

介入心脏病学家和电生理学家进行各种操作,以提高生活质量和延长寿命。在考虑其他更急性或紧急的情况时,可能会忽略房颤患者中风风险的降低,例如需要治疗的严重冠状动脉或瓣膜性心脏病或需要消融的有症状的房颤。然而,我们必须牢记这种长期的中风风险,以优化患者的整体预后。对于那些存在高中风和出血风险的患者,经皮左心耳封堵术是一个重要的选择。正在进行的研究将有助于在该领域提供客观数据。

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