左心耳干预预防心房颤动患者血栓栓塞事件:目前的认识和建议

被引:27
作者
黄从新
机构
[1] 中华医学会心电生理和起搏分会
[2] 中华医学会心血管病学分会
[3] 中国医师协会心律学专业委员会
关键词
心房颤动; 心房纤颤; 封堵器; LAA; 封堵技术; 左心耳; 患者; 房颤; 血栓栓塞; 干预预防;
D O I
10.13333/j.cnki.cjcpe.2014.06.001
中图分类号
R541.75 []; R543.31 [];
学科分类号
摘要
<正>心房颤动(简称房颤)为常见的快速心律失常之一,其严重并发症为血栓栓塞事件,轻者影响生存质量,重者可致残、致死。为此,在该病的防治策略中,预防栓塞事件的发生系重要的防治策略。在预防栓塞事件中,规范的抗栓治疗已获满意疗效,然因需长期抗凝,病人顺从性较差,据估计,我国房颤患者规范抗栓治疗者不足10%。因此,探索新的预防栓塞事件的策略便显得尤为必要。近年来,采用左心耳(LAA)干预预防栓塞事件的临床研
引用
收藏
页码:471 / 486
页数:16
相关论文
共 44 条
  • [31] Left atrial appendage exclusion and the risk of thromboembolic events following mitral valve surgery
    Almahameed, Soufian T.
    Khan, Mohammed
    Zuzek, Ryan W.
    Juratli, Nour
    Belden, William A.
    Asher, Craig R.
    Novaro, Gian M.
    Martin, David O.
    Natale, Andrea
    [J]. JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2007, 18 (04) : 364 - 366
  • [32] The PROTECT AF (WATCHMAN Left Atrial Appendage System for embolic PROTECTion in patients with atrial fibrillation) trial
    Fountain, RB
    Holmes, DR
    Chandrasekaran, K
    Packer, D
    Asirvatham, S
    Van Tassel, R
    Turi, Z
    [J]. AMERICAN HEART JOURNAL, 2006, 151 (05) : 956 - 961
  • [33] Video-assisted bilateral pulmonary vein isolation and left atrial appendage exclusion for atrial fibrillation
    Wolf, RK
    Schneeberger, EW
    Osterday, R
    Miller, D
    Merrill, W
    Flege, JB
    Gillinov, AM
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2005, 130 (03) : 797 - 802
  • [34] Surgical treatment of atrial fibrillation: Predictors of late recurrence[J] . Sydney L. Gaynor,Richard B. Schuessler,Marci S. Bailey,Yosuke Ishii,John P. Boineau,Marye J. Gleva,James L. Cox,Ralph J. Damiano.The Journal of Thoracic and Cardiovascular Surgery . 2005 (1)
  • [35] Stapled excision of the left atrial appendage
    Gillinov, AM
    Pettersson, G
    Cosgrove, DM
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2005, 129 (03) : 679 - 680
  • [36] Left Atrial Appendage Occlusion Study (LAAOS): Results of a randomized controlled pilot study of left atrial appendage occlusion during coronary bypass surgery in patients at risk for stroke[J] . Jeff S. Healey,Eugene Crystal,Andre Lamy,Kevin Teoh,Lloyd Semelhago,Stefan H. Hohnloser,Irene Cybulsky,Labib Abouzahr,Corey Sawchuck,Sandra Carroll,Carlos Morillo,Peter Kleine,Victor Chu,Eva Lonn,Stuart J. Connolly.American Heart Journal . 2005 (2)
  • [37] Percutaneous Left Atrial Appendage Transcatheter Occlusion (PLAATO System) to Prevent Stroke in High-Risk Patients With Non-Rheumatic Atrial Fibrillation[J] . Stefan H. Ostermayer,Mark Reisman,Paul H. Kramer,Ray V. Matthews,William A. Gray,Peter C. Block,Heyder Omran,Antonio L. Bartorelli,Paolo Della Bella,Carlo Di Mario,Carlo Pappone,Paul N. Casale,Jeffrey W. Moses,Athena Poppas,David O. Williams,Bernhard Meier,Allan Skanes,Paul S. Teirstein,Michael D. Lesh,Toshiko Nakai,Yves Bayard,Kai Billing
  • [38] Role of left atrial appendage obliteration in stroke reduction in patients with mitral valve prosthesis: a transesophageal echocardiographic study[J] . M.A. Garcya-Fernandez,E. Perez-David,J. Quiles.ACC Current Journal Review . 2004 (2)
  • [39] Transcatheter left atrial appendage occlusion with Amplatzer devices to obviate anticoagulation in patients with atrial fibrillation
    Meier, B
    Palacios, I
    Windecker, S
    Rotter, M
    Cao, QL
    Keane, D
    Ruiz, CE
    Hijazi, ZM
    [J]. CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2003, 60 (03) : 417 - 422
  • [40] Early and late stroke after mitral valve replacement with a mechanical prosthesis: risk factor analysis of a 24-year experience[J] . Ko Bando,Junjiro Kobayashi,Mitsuhiro Hirata,Toshihiko Satoh,Kazuo Niwaya,Osamu Tagusari,Satoshi Nakatani,Toshikatsu Yagihara,Soichiro Kitamura.The Journal of Thoracic and Cardiovascular Surgery . 2003 (2)