Left Atrial Appendage Exclusion for Atrial Fibrillation

被引：5
|
作者：
Syed, Faisal F. [1 ]
DeSimone, Christopher V. [1 ]
Friedman, Paul A. [1 ]
Asirvatham, Samuel J. [1 ,2 ]
机构：
[1] Mayo Clin, Dept Internal Med, Div Cardiovasc Dis, 200 First St Southwest, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Pediat & Adolescent Med, 200 First St Southwest, Rochester, MN 55905 USA
来源：
HEART FAILURE CLINICS | 2016年 / 12卷 / 02期
关键词：
Left atrial appendage; Percutaneous appendage closure; Stroke prevention; Atrial fibrillation; AMPLATZER CARDIAC PLUG; PULMONARY VEIN ISOLATION; CORONARY-HEART-DISEASE; HIGH-RISK PATIENTS; STROKE PREVENTION; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; THROMBUS FORMATION; TRANSCATHETER OCCLUSION; CARDIOEMBOLIC STROKE; NATRIURETIC-PEPTIDE;
D O I：
10.1016/j.hfc.2015.08.022
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Percutaneous left atrial appendage (LAA) closure is being increasingly used as a treatment strategy to prevent stroke in patients with atrial fibrillation (AF) who have contraindications to anticoagulants. Several approaches and devices have been developed in the last few years, each with their own unique set of advantages and disadvantages. In this article, the published studies on surgical and percutaneous approaches to LAA closure are reviewed, focusing on stroke mechanisms in AF, LAA structure and function relevant to stroke prevention, practical differences in procedural approach, and clinical considerations surrounding management.
引用
收藏
页码：273 / +
页数：26
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