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左心耳封堵术后器械周围漏的发生、机制、临床影响和处理。

Peridevice Leak After Left Atrial Appendage Occlusion: Incidence, Mechanisms, Clinical Impact, and Management.

机构信息

Department of Cardiology, Mayo Clinic School of Medicine Rochester, Minnesota, USA.

Department of Cardiology, The Heart Center, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

出版信息

JACC Cardiovasc Interv. 2023 Mar 27;16(6):627-642. doi: 10.1016/j.jcin.2022.12.006.

DOI:10.1016/j.jcin.2022.12.006
PMID:36990553
Abstract

Left atrial appendage occlusion is an increasingly adopted stroke prevention strategy in patients with atrial fibrillation. However, peridevice leaks after the procedure are not infrequent and have recently been shown to confer a higher risk for subsequent ischemic events. In this paper, the authors review the available research on the frequency, mechanisms, clinical significance, and management of peridevice leak after percutaneous left atrial appendage occlusion.

摘要

左心耳封堵术是房颤患者日益采用的一种卒中预防策略。然而,术后器械周围漏并非罕见,且最近有研究表明其与随后的缺血性事件风险增加相关。本文作者就经皮左心耳封堵术后器械周围漏的发生率、发生机制、临床意义和处理进行了综述。

相似文献

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Peridevice Leak After Left Atrial Appendage Occlusion: Incidence, Mechanisms, Clinical Impact, and Management.左心耳封堵术后器械周围漏的发生、机制、临床影响和处理。
JACC Cardiovasc Interv. 2023 Mar 27;16(6):627-642. doi: 10.1016/j.jcin.2022.12.006.
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Impact of Peridevice Leak on 5-Year Outcomes After Left Atrial Appendage Closure.经皮左心耳封堵术后器械相关渗漏对 5 年结局的影响。
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Peridevice leak: Achilles' heel of left atrial appendage occlusion?器械周围渗漏:左心耳封堵术的致命弱点?
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Transcatheter embolic coils to treat peridevice leaks after left atrial appendage closure.经导管栓塞线圈治疗左心耳封堵术后器械相关漏。
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Percutaneous Closure of Peridevice Leak After Left Atrial Appendage Occlusion.经皮封堵左心耳封堵术后器械周围渗漏
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Peridevice Leaks: The Plot Hole of Left Atrial Appendage Closure for Stroke Prophylaxis.装置周围渗漏:左心耳封堵预防卒中的漏洞
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引用本文的文献

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Incomplete Left Atrial Appendage Closure: How to Address the (Knowledge) Gap?左心耳封堵不全:如何弥补(知识)差距?
Struct Heart. 2025 Jun 24;9(8):100466. doi: 10.1016/j.shj.2025.100466. eCollection 2025 Aug.
2
Epicardial Ligation of the Left Atrial Appendage in Octogenarians: Safety and Long-Term Efficacy.老年患者左心耳的心外膜结扎术:安全性与长期疗效
J Clin Med. 2025 Mar 7;14(6):1787. doi: 10.3390/jcm14061787.
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Left atrial appendage occlusion in atrial fibrillation: shaping the future of stroke prevention.心房颤动中的左心耳封堵:塑造卒中预防的未来。
Future Cardiol. 2025 May;21(6):391-404. doi: 10.1080/14796678.2025.2484964. Epub 2025 Mar 26.
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Imaging assessment after percutaneous left atrial appendage closure: from immediate to long-term follow-up.经皮左心耳封堵术后的影像学评估:从即刻到长期随访
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Struct Heart. 2024 Aug 3;9(1):100354. doi: 10.1016/j.shj.2024.100354. eCollection 2025 Jan.
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Clin Res Cardiol. 2025 Feb 27. doi: 10.1007/s00392-025-02624-5.
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Clin Res Cardiol. 2025 Jan 7. doi: 10.1007/s00392-024-02586-0.
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