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新冠疫情时期的左心耳封堵术

Left atrial appendage occlusion in COVID-19 times.

作者信息

Freixa Xavier, Aminian Adel, De Backer Ole, Berti Sergio, Nielsen-Kudsk Jens-Erik

机构信息

Department of Cardiology, IDIBAPS, Hospital Clinic of Barcelona, c/Villarroel 170. Escala 3 Planta 6, 08015 Barcelona, Spain.

Department of Cardiology, Centre Hospitalier Universitaire de Charleroi, Charleroi, Belgium.

出版信息

Eur Heart J Suppl. 2020 Dec 23;22(Suppl Pt t):P47-P52. doi: 10.1093/eurheartj/suaa173. eCollection 2020 Dec.

DOI:10.1093/eurheartj/suaa173
PMID:33390871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7757719/
Abstract

The coronavirus disease 2019 pandemic is having a major impact on healthcare systems worldwide. Several months after the COVID-19 outbreak, waiting lists of non-urgent structural heart (SH) interventions continue to increase. Limitations in terms of ICU beds and anesthesiology represent a major limitation to conduct non-urgent SH interventions and are a valid reason to move towards less invasive approaches. The field of left atrial appendage occlusion (LAAO) reflects this challenging situation perfectly. The aim of this paper is to describe the possibilities for pre-procedural LAA assessment, performance of the LAAO procedure and post-procedural surveillance in these challenging times.

摘要

2019年冠状病毒病大流行正在对全球医疗系统产生重大影响。在新冠疫情爆发数月后，非紧急结构性心脏病（SH）干预的等候名单持续增加。重症监护病房床位和麻醉方面的限制是进行非紧急SH干预的主要限制因素，也是转向侵入性较小方法的合理理由。左心耳封堵术（LAAO）领域完美地反映了这种具有挑战性的情况。本文旨在描述在这些充满挑战的时期进行术前左心耳评估、LAAO手术操作及术后监测的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/d6eb25a105ae/suaa173f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/457eb560d036/suaa173f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/72dcaa5da258/suaa173f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/f09f2664bcb2/suaa173f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/d6eb25a105ae/suaa173f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/457eb560d036/suaa173f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/72dcaa5da258/suaa173f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/f09f2664bcb2/suaa173f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a436/7757719/d6eb25a105ae/suaa173f4.jpg

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本文引用的文献

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Coronavirus Disease (COVID-19): Challenges and Opportunities.冠状病毒病（COVID-19）：挑战与机遇
Disaster Med Public Health Prep. 2022 Apr;16(2):431-433. doi: 10.1017/dmp.2020.341. Epub 2020 Sep 10.
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Coronavirus Disease 2019 and Catheterisation Laboratory Considerations: "Looking for Essentials".2019冠状病毒病与导管实验室考量：“探寻要点”
Eur Cardiol. 2020 Jul 29;15:e57. doi: 10.15420/ecr.2020.29. eCollection 2020 Feb.
3
Value of FEops HEARTguide patient-specific computational simulations in the planning of left atrial appendage closure with the Amplatzer Amulet closure device: rationale and design of the PREDICT-LAA study.
FEops HEARTguide患者特异性计算模拟在使用Amplatzer Amulet封堵装置进行左心耳封堵术规划中的价值：PREDICT-LAA研究的原理与设计
Open Heart. 2020 Aug;7(2). doi: 10.1136/openhrt-2020-001326.
4
Outcomes of Routine Intracardiac Echocardiography to Guide Left Atrial Appendage Occlusion.常规心内超声心动图指导左心耳封堵术的结果。
JACC Clin Electrophysiol. 2020 Apr;6(4):393-400. doi: 10.1016/j.jacep.2019.11.014. Epub 2020 Jan 29.
5
Left atrial appendage occlusion with the Amplatzer Amulet: update on device sizing.经导管左心耳封堵术应用 Amplatzer Amulet: 器械型号选择的最新进展。
J Interv Card Electrophysiol. 2020 Oct;59(1):71-78. doi: 10.1007/s10840-019-00699-5. Epub 2020 Mar 12.
6
Image fusion of integrating fluoroscopy into 3D computed tomography in guidance of left atrial appendage closure.将透视图像融合到 3D 计算机断层扫描中，以指导左心耳封堵。
Eur Heart J Cardiovasc Imaging. 2021 Jan 1;22(1):92-101. doi: 10.1093/ehjci/jez286.
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Expert Recommendations on Cardiac Computed Tomography for Planning Transcatheter Left Atrial Appendage Occlusion.经专家推荐的用于规划经导管左心耳封堵术的心脏计算机断层扫描。
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Validation of a computational model aiming to optimize preprocedural planning in percutaneous left atrial appendage closure.验证一种旨在优化经皮左心耳封堵术术前规划的计算模型。
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