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.
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.
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。
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