Department of Electrophysiology, University of California San Francisco, 500 Parnassus Ave., MU-East Fourth Floor, San Francisco, CA 94143, USA.
Department of Electrophysiology, University of California San Francisco, 500 Parnassus Ave., MU-East Fourth Floor, San Francisco, CA 94143, USA.
Card Electrophysiol Clin. 2020 Mar;12(1):39-45. doi: 10.1016/j.ccep.2019.11.001. Epub 2019 Dec 25.
Left atrial appendage closure is an increasingly used means of achieving thromboprophylaxis in atrial fibrillation, particularly in patients with contraindications to anticoagulation. Left atrial appendage anatomy is highly variable, and preprocedural imaging is critical to choosing the correct device and approach for left atrial appendage closure. This article reviews the common endocardial and epicardial closure systems, including anatomic considerations, advantages and disadvantages, as well as complications to be avoided.
左心耳封堵术是预防心房颤动血栓栓塞的一种越来越常用的方法，尤其适用于存在抗凝禁忌的患者。左心耳解剖结构高度变异，术前影像学检查对于选择正确的左心耳封堵装置和方法至关重要。本文回顾了常见的心内膜和心外膜封堵系统，包括解剖学考虑、优缺点以及需要避免的并发症。
