Cardioangiologisches Centrum Bethanien, AGAPLESION Markus Krankenhaus, Wilhelm-Epstein Strasse 4, Frankfurt/Main 60431, Germany.
Cardioangiologisches Centrum Bethanien, AGAPLESION Markus Krankenhaus, Wilhelm-Epstein Strasse 4, Frankfurt/Main 60431, Germany.
Card Electrophysiol Clin. 2020 Mar;12(1):125-130. doi: 10.1016/j.ccep.2019.11.008.
Please verify if "pigtail guided" should be "pigtail catheter-guided": Recent design changes for left atrial appendage (LAA) closure devices have led to significant improvement by facilitating the procedural workflow (no need for pigtail guided LAA intubation), moving the workspace from distal LAA to the landing zone (closed distal end design), and improving device stability (different anchor design). The availability of different device types (plug vs disc-lobe design) offers an option to tailor a device type to a patient's anatomy; thereby, sealing results have improved substantially. The issue of device-related thrombus has not been resolved and deserves future research, with the goal of eliminating postprocedural antithrombotic medication without increasing risk for stroke.
请核实“pigtail guided”是否应改为“pigtail catheter-guided”：最近左心耳（LAA）封堵装置的设计改变显著改善了手术流程（无需 pigtail 引导 LAA 插管），将工作空间从 LAA 的远端转移到着陆区（封闭的远端设计），并提高了装置的稳定性（不同的锚定设计）。不同装置类型（封堵器 vs 瓣叶设计）的出现为患者解剖结构提供了选择装置类型的机会；从而，密封效果有了显著提高。与装置相关的血栓问题尚未解决，值得进一步研究，目标是在不增加中风风险的情况下消除术后抗血栓药物治疗。
