Left Atrial Appendage Occlusion: Lessons Learned From Surgical and Transcatheter Experiences

被引:61
作者
Chatterjee, Subhasis [1 ]
Alexander, John C.
Pearson, Paul J.
Feldman, Ted
机构
[1] NorthShore Univ HealthSyst, Cardiac & Thorac Surg Div, Dept Surg, Evanston, IL 60201 USA
关键词
HIGH-RISK PATIENTS; STROKE PREVENTION; WARFARIN THERAPY; ISCHEMIC-STROKE; MAZE PROCEDURE; FIBRILLATION; LIGATION; ANTICOAGULATION; OBLITERATION; EXCLUSION;
D O I
10.1016/j.athoracsur.2011.08.044
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Since the 1950s, the pathophysiologic role of the left atrial appendage (LAA) has been known in thromboembolic disease. A variety of surgical techniques have been described to close the LAA, with various degrees of efficacy. Today, transcatheter devices for LAA occlusion may offer a less invasive solution. This review looks at the surgical experience with LAA occlusion, with a focus on the techniques of closure, the prospects for stroke reduction, and the percutaneous trials completed so far, to formulate some meaningful conclusions about the status of LAA closure today. (Ann Thorac Surg 2011; 92:2283-92) (C) 2011 by The Society of Thoracic Surgeons
引用
收藏
页码:2283 / 2292
页数:10
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