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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.

DOI:10.1016/j.case.2022.10.004
PMID:36704483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9871351/
Abstract

• 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.

摘要

• 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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/bc494e7f7c9c/gr8.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/b6b0fe564665/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/21abff174553/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/46c8e2c60cf9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/ce6b2fc692d2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/e71b15411db2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/f3fb13ef7e25/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/18288c5d419d/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/bc494e7f7c9c/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/8fefdbe0a623/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/b6b0fe564665/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/21abff174553/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/46c8e2c60cf9/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/ce6b2fc692d2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/e71b15411db2/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/f3fb13ef7e25/gr6.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/106a/9871351/bc494e7f7c9c/gr8.jpg

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本文引用的文献

1
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。
JACC Cardiovasc Interv. 2020 Feb 10;13(3):277-292. doi: 10.1016/j.jcin.2019.08.054. Epub 2019 Oct 30.
2
5-Year Outcomes After Left Atrial Appendage Closure: From the PREVAIL and PROTECT AF Trials.左心耳封堵术后 5 年的结果:来自 PREVAIL 和 PROTECT AF 试验。
J Am Coll Cardiol. 2017 Dec 19;70(24):2964-2975. doi: 10.1016/j.jacc.2017.10.021. Epub 2017 Nov 4.
3
CT sizing for left atrial appendage closure is associated with favourable outcomes for procedural safety.
CT 测量左心耳大小与左心耳封堵术的程序安全性良好结果相关。
Eur Heart J Cardiovasc Imaging. 2017 Dec 1;18(12):1361-1368. doi: 10.1093/ehjci/jew212.
4
Percutaneous left atrial appendage closure: Technical aspects and prevention of periprocedural complications with the watchman device.经皮左心耳封堵术:使用Watchman装置的技术要点及围手术期并发症的预防
World J Cardiol. 2015 Feb 26;7(2):65-75. doi: 10.4330/wjc.v7.i2.65.
5
Percutaneous left atrial appendage closure: procedural techniques and outcomes.经皮左心耳封堵:操作技术与结果。
JACC Cardiovasc Interv. 2014 Nov;7(11):1205-20. doi: 10.1016/j.jcin.2014.05.026. Epub 2014 Nov 17.
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Prospective randomized evaluation of the Watchman Left Atrial Appendage Closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial.前瞻性随机评估 Watchman 左心耳封堵装置在房颤患者与长期华法林治疗中的效果:PREVAIL 试验。
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Rationale and design of the Left Atrial Appendage Occlusion Study (LAAOS) III.左心耳封堵研究(LAAOS)III 的原理和设计。
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The role of echocardiography in percutaneous left atrial appendage occlusion.超声心动图在经皮左心耳封堵术中的作用。
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