左心耳封堵装置弯曲：一种可通过术中经食管超声心动图识别并纠正的可避免的植入并发症。
Left Atrial Appendage Occlusion Device Buckling: An Avoidable Deployment Complication Identified and Corrected Using Intraprocedural Transesophageal Echocardiography.
作者信息
Pruitt Zachary, Bhave Prashant, Daniel Kurt, Whalen S Patrick, Richardson Karl
机构信息
Department of Internal Medicine, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina.
Section of Cardiovascular Disease, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina.
出版信息
CASE (Phila). 2022 Nov 14;7(1):27-34. doi: 10.1016/j.case.2022.10.004. eCollection 2023 Jan.
• Watchman device buckling is a previously undescribed deployment complication. • Both 2D and 3D TEE assist in detection of buckling during and after the procedure. • Challenging LAA anatomy may play a significant role in buckling risk. • An acute angle between the deployment catheter and the LAA ostium may confer risk. • With diligent TEE guidance, buckling may be corrected during the procedure.
• 观察哨装置弯曲是一种先前未描述过的植入并发症。
• 二维和三维经食管超声心动图（TEE）有助于在手术期间及术后检测弯曲情况。
• 具有挑战性的左心耳（LAA）解剖结构可能在弯曲风险中起重要作用。
• 植入导管与LAA开口之间的锐角可能带来风险。
• 在认真的TEE引导下，手术过程中弯曲情况可能得到纠正。
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