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预防中风的介入治疗。

Interventional Treatment for Stroke Prevention.

作者信息

Gianni Carola, Della Rocca Domenico G, Natale Andrea, Horton Rodney P

机构信息

Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, TX, USA.

HCA National Medical Director of Cardiac Electrophysiology, USA.

出版信息

Korean Circ J. 2021 Jan;51(1):1-14. doi: 10.4070/kcj.2020.0416.

DOI:10.4070/kcj.2020.0416
PMID:33377326
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7779816/
Abstract

Closure of the left atrial appendage using percutaneous transcatheter occlusion devices is used for stroke prevention as an alternative for patients with a high risk or contraindications for long-term oral anticoagulation use. Herein, we will discuss the practical aspects of five among the available devices used for interventional left atrial appendage occlusion: Watchman, Amulet, WaveCrest, LAmbre, and Lariat.

摘要

使用经皮导管封堵装置封闭左心耳可用于预防中风，作为长期口服抗凝治疗存在高风险或禁忌证患者的替代方案。在此，我们将讨论用于介入性左心耳封堵的五种现有装置的实际应用情况：Watchman、Amulet、WaveCrest、LAmbre和Lariat。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/72d870e21367/kcj-51-1-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/1a6b5ba5d4ca/kcj-51-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/631ab0683bdf/kcj-51-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/9da86b055cab/kcj-51-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/57e27ec50dd7/kcj-51-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/f1fc3099bdae/kcj-51-1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/fb3852f885c4/kcj-51-1-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/bb8722d59a9a/kcj-51-1-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/72d870e21367/kcj-51-1-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/1a6b5ba5d4ca/kcj-51-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/631ab0683bdf/kcj-51-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/9da86b055cab/kcj-51-1-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/57e27ec50dd7/kcj-51-1-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/f1fc3099bdae/kcj-51-1-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/fb3852f885c4/kcj-51-1-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/bb8722d59a9a/kcj-51-1-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be6e/7779816/72d870e21367/kcj-51-1-g008.jpg

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本文引用的文献

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Primary Outcome Evaluation of a Next-Generation Left Atrial Appendage Closure Device: Results From the PINNACLE FLX Trial.新一代左心耳封堵装置的主要结局评估：PINNACLE FLX 试验结果。
Circulation. 2021 May 4;143(18):1754-1762. doi: 10.1161/CIRCULATIONAHA.120.050117. Epub 2021 Apr 6.
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Closure of the left atrial appendage using percutaneous transcatheter occlusion devices.经皮导管左心耳封堵术。
J Cardiovasc Electrophysiol. 2020 Aug;31(8):2179-2186. doi: 10.1111/jce.14471. Epub 2020 Apr 29.
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First Experience of Transcatheter Leak Occlusion With Detachable Coils Following Left Atrial Appendage Closure.
经皮左心耳封堵术后应用可脱卸弹簧圈行介入漏口封堵术的初步经验。
JACC Cardiovasc Interv. 2020 Feb 10;13(3):306-319. doi: 10.1016/j.jcin.2019.10.022. Epub 2020 Jan 15.
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EHRA/EAPCI expert consensus statement on catheter-based left atrial appendage occlusion - an update.EHRA/EAPCI关于基于导管的左心耳封堵术的专家共识声明——更新版
EuroIntervention. 2020 Jan 17;15(13):1133-1180. doi: 10.4244/EIJY19M08_01.
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2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society.2019年美国心脏协会/美国心脏病学会/心律学会对2014年美国心脏协会/美国心脏病学会/心律学会心房颤动患者管理指南的聚焦更新：美国心脏病学会/美国心脏协会临床实践指南工作组和心律学会的报告
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Left atrial appendage occlusion with the AMPLATZER Amulet device: one-year follow-up from the prospective global Amulet observational registry.应用 AMPLATZER Amulet 装置行左心耳封堵术：前瞻性全球 Amulet 观察性注册研究的一年随访结果。
EuroIntervention. 2018 Aug 3;14(5):e590-e597. doi: 10.4244/EIJ-D-18-00344.
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Percutaneous Left Atrial Appendage Closure: Current Devices and Clinical Outcomes.经皮左心耳封堵术：现有器械和临床结局。
Circ Cardiovasc Interv. 2017 Nov;10(11). doi: 10.1161/CIRCINTERVENTIONS.117.005359.
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Percutaneous Left Atrial Appendage Closure With the LAmbre Device for Stroke Prevention in Atrial Fibrillation: A Prospective, Multicenter Clinical Study.经皮左心耳封堵术预防心房颤动卒中：一项前瞻性、多中心临床研究。
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