Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2020 Oct;95(10):2244-2248. doi: 10.1016/j.mayocp.2020.07.032.
Left atrial appendage closure has emerged as a feasible stroke prevention strategy in selected patients with nonvalvular atrial fibrillation. Since its commercial approval in the United States in 2015, the use of percutaneous left atrial appendage closure has witnessed a substantial growth. However, certain issues remain unresolved with the technology. Knowledge of these issues, their significance, and the current and future efforts to resolve them is key for proper informed decision making by physicians and patients.
左心耳封堵术已成为非瓣膜性心房颤动患者的一种可行的卒中预防策略。自 2015 年在美国获得商业批准以来,经皮左心耳封堵术的应用有了显著增长。然而,该技术仍存在一些尚未解决的问题。了解这些问题、它们的意义以及当前和未来解决这些问题的努力,是医生和患者做出正确知情决策的关键。