The Kansas City heart rhythm institution and research foundation, HCA MIDWEST HEALTH, Second Floor, 5100 W 110th St, Overland Park, KS 66211, USA.
Department of Cardiology, University of New Mexico, 1 University of New Mexico, Albuquerque, NM 87131, USA.
Card Electrophysiol Clin. 2020 Mar;12(1):97-108. doi: 10.1016/j.ccep.2019.11.011.
Left atrial appendage occlusion is an evolving technology with demonstrable benefits of stroke prophylaxis in patients with atrial fibrillation unsuitable for anticoagulation. This has resulted in the development of a plethora of transcatheter devices to achieve epicardial exclusion and endocardial occlusion. In this review, the authors summarize the differences in technique, target patient population, outcomes, and complication profiles of endocardial and epicardial techniques.
左心耳封堵术是一种不断发展的技术，对于不适合抗凝治疗的房颤患者，具有明显的预防中风的益处。这导致了大量经导管装置的发展，以实现心外膜排除和心内膜闭塞。在这篇综述中，作者总结了心内膜和心外膜技术在技术、目标患者人群、结果和并发症特征方面的差异。
