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CT成像在WATCHMAN™装置左心耳封堵术中的作用。

Role of CT imaging in left atrial appendage occlusion for the WATCHMAN™ device.

作者信息

Kaafarani Mirna, Saw Jacqueline, Daniels Matthew, Song Thomas, Rollet Marianne, Kesinovic Sanel, Lamorgese Tony, Kubiak Kati, Qi Zhihua, Pantelic Milan, O'Neill William, Wang Dee Dee

机构信息

Center for Structural Heart Disease, Division of Cardiology, Henry Ford Health System, Detroit, Michigan, USA.

Division of Cardiology, Vancouver General Hospital, British Columbia, Canada.

出版信息

Cardiovasc Diagn Ther. 2020 Feb;10(1):45-58. doi: 10.21037/cdt.2019.12.01.

Abstract

Computed tomography (CT) plays a key role in the peri-procedural planning of left atrial appendage occlusion (LAAO) device placement and post-procedural evaluation. The geometric variability of the interatrial septum, left atrium, and the left atrial appendage morphology can be fully visualized and intuitively appreciated through CT-derived, patient-specific 3D model unique to each individual's anatomy. This review further defines the strengths and limitations of CT peri-procedural imaging in the planning of LAAO.

摘要

计算机断层扫描(CT)在左心耳封堵(LAAO)装置置入的围手术期规划和术后评估中起着关键作用。通过CT衍生的、针对每个个体解剖结构的患者特异性三维模型,可以充分可视化并直观地了解房间隔、左心房和左心耳形态的几何变异性。本综述进一步明确了CT围手术期成像在LAAO规划中的优势和局限性。

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本文引用的文献

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Asymptomatic dislocation of a Watchman left atrial appendage occluder.Watchman左心耳封堵器的无症状性脱位。
Asian Cardiovasc Thorac Ann. 2019 Jun;27(5):394-395. doi: 10.1177/0218492318805620. Epub 2018 Oct 3.
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Closure of Left Atrial Appendage to Prevent Stroke: Devices and Status.封堵左心耳预防卒中:器械与现状
Tex Heart Inst J. 2018 Jun 1;45(3):172-174. doi: 10.14503/THIJ-18-6693. eCollection 2018 Jun.
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Left Atrial Appendage Occlusion for Stroke Prevention.左心耳封堵预防卒中
Prog Cardiovasc Dis. 2017 May-Jun;59(6):626-635. doi: 10.1016/j.pcad.2017.04.003. Epub 2017 Apr 28.
8
Left-atrial-appendage occluder migrates in an asymptomatic patient.左心耳封堵器在一名无症状患者体内发生移位。
Tex Heart Inst J. 2014 Aug 1;41(4):443-4. doi: 10.14503/THIJ-13-3173. eCollection 2014 Aug.
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Atrial fibrillation and stroke: epidemiology.心房颤动和中风:流行病学。
Am J Med. 2014 Apr;127(4):e15-6. doi: 10.1016/j.amjmed.2013.06.002.

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