Suematsu Yoshihiro, Shimizu Takaharu
Department of Cardiovascular Surgery, 73582Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan.
Asian Cardiovasc Thorac Ann. 2020 Nov;28(9):618-620. doi: 10.1177/0218492320956456. Epub 2020 Aug 28.
The left atrial appendage is thought to be responsible for the majority of embolic strokes, and has become an important target in the surgical management of atrial fibrillation. We present an original clip-and-loop technique using an AtriClip via a left minithoracotomy for post-stroke patients with atrial fibrillation. This procedure was performed in 43 cases between March 2018 and January 2020. No patient had a thrombus at the edge of the clip or communication into the left atrial appendage 3 months after surgery. Anticoagulant could be discontinued in all patients. Follow-up at 23 ± 10 months showed no recurrence of stroke.
左心耳被认为是大多数栓塞性中风的起因，已成为房颤外科治疗的重要靶点。我们介绍一种原创的夹闭和套扎技术，通过左胸小切口使用AtriClip夹子，用于中风后房颤患者。2018年3月至2020年1月期间对43例患者实施了该手术。术后3个月，没有患者在夹子边缘出现血栓或左心耳有交通。所有患者均可停用抗凝剂。在23±10个月的随访中，未发现中风复发。
