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左心耳封堵术后及时行经食管超声心动图检查可避免延迟发现与器械相关的血栓形成。

Timely Transesophageal Echocardiography After Left Atrial Appendage Occlusion May Avoid Delayed Detection of Device-Related Thrombus.

作者信息

Abugrin Mohamed, Panchal Ankur, Aboulqassim Batoul, Bilal Muhammad, Virk Jaswinder

机构信息

Department of Internal Medicine, Bassett Medical Center, Cooperstown, New York.

出版信息

CASE (Phila). 2024 Jun 28;8(9):456-460. doi: 10.1016/j.case.2024.05.007. eCollection 2024 Sep.

DOI:10.1016/j.case.2024.05.007
PMID:39483744
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11523204/
Abstract

• Timely follow-up is critical in reducing the risk for device-related complications. • Studies are needed on the efficacy of DAPT after LAAO in high-risk patients. • Serial TEE is crucial for evaluating device-related complications. • Findings on TEE may be used to guide post-LAAO care.

摘要

• 及时随访对于降低器械相关并发症的风险至关重要。

• 需要开展关于高风险患者左心耳封堵术后双联抗血小板治疗疗效的研究。

• 连续经食管超声心动图(TEE)对于评估器械相关并发症至关重要。

• TEE的检查结果可用于指导左心耳封堵术后的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/ef04636d5ae2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/40bb30152cb0/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/857f6f42ed9f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/90e735a4b76e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/ef04636d5ae2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/40bb30152cb0/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/857f6f42ed9f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/90e735a4b76e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67f9/11523204/ef04636d5ae2/gr3.jpg

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本文引用的文献

1
Left Atrial Appendage Occlusion and Post-procedural Antithrombotic Management.左心耳封堵术及术后抗栓治疗
J Clin Med. 2024 Jan 30;13(3):803. doi: 10.3390/jcm13030803.
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SCAI/HRS expert consensus statement on transcatheter left atrial appendage closure.SCAI/HRS关于经导管左心耳封堵术的专家共识声明。
Heart Rhythm. 2023 May;20(5):e1-e16. doi: 10.1016/j.hrthm.2023.01.007. Epub 2023 Mar 27.
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Clinical and echocardiographic risk factors for device-related thrombus after left atrial appendage closure: an analysis from the multicenter EUROC-DRT registry.
左心耳封堵术后器械相关血栓的临床和超声心动图危险因素:来自多中心 EUROC-DRT 登记研究的分析。
Clin Res Cardiol. 2022 Nov;111(11):1276-1285. doi: 10.1007/s00392-022-02065-4. Epub 2022 Jul 18.
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Predictors of Device-Related Thrombus Following Percutaneous Left Atrial Appendage Occlusion.经皮左心耳封堵术后器械相关血栓的预测因素。
J Am Coll Cardiol. 2021 Jul 27;78(4):297-313. doi: 10.1016/j.jacc.2021.04.098.
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Detection of Device-Related Thrombosis Following Left Atrial Appendage Occlusion: A Comparison Between Cardiac Computed Tomography and Transesophageal Echocardiography.左心耳封堵术后器械相关血栓的检测:心脏计算机断层扫描与经食管超声心动图的比较。
Circ Cardiovasc Interv. 2019 Sep;12(9):e008112. doi: 10.1161/CIRCINTERVENTIONS.119.008112. Epub 2019 Sep 13.
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ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease: A Report of the American College of Cardiology Appropriate Use Criteria Task Force, American Association for Thoracic Surgery, American Heart Association, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, and the Society of Thoracic Surgeons.美国心脏病学会/美国胸外科医师协会/美国心脏协会/美国超声心动图学会/美国核心脏病学会/心律学会/心血管造影和介入学会/心血管计算机断层扫描学会/心血管磁共振学会/胸外科医师学会2019年非瓣膜性心脏病心脏结构和功能评估中多模态成像的合理使用标准:美国心脏病学会合理使用标准工作组、美国胸外科医师协会、美国心脏协会、美国超声心动图学会、美国核心脏病学会、心律学会、心血管造影和介入学会、心血管计算机断层扫描学会、心血管磁共振学会及胸外科医师学会报告
J Am Coll Cardiol. 2019 Feb 5;73(4):488-516. doi: 10.1016/j.jacc.2018.10.038. Epub 2019 Jan 7.
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EuroIntervention. 2018 Apr 20;13(17):2003-2011. doi: 10.4244/EIJ-D-17-00672.
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Use of non-warfarin oral anticoagulants instead of warfarin during left atrial appendage closure with the Watchman device.在使用Watchman装置进行左心耳封堵时,使用非华法林口服抗凝剂替代华法林。
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