医学研究生学报
醫學研究生學報
의학연구생학보
JOURNAL OF MEDICAL POSTGRADUATE
2015年
5期
553-556
,共4页
肖云云(综述)%徐伟%徐标(审校)
肖雲雲(綜述)%徐偉%徐標(審校)
초운운(종술)%서위%서표(심교)
心房颤动%经皮左心耳封堵术%血栓栓塞
心房顫動%經皮左心耳封堵術%血栓栓塞
심방전동%경피좌심이봉도술%혈전전새
Atrial fibrillation%Left atrial appendage closure%Thromboembolism
心房颤动(房颤)是临床最常见的持续性心律失常,会增加血栓栓塞的风险。来源于左心耳的血栓是导致房颤患者栓塞的主要原因。经皮左心耳封堵术作为一项新的预防血栓栓塞的技术,为存在高出血风险而无法服用抗凝药的房颤患者提供了更多的选择。近年来的研究表明左心耳封堵术可显著降低卒中的发生率。文中通过回顾左心耳封堵术相关的研究,从而探讨左心耳封堵术预防房颤血栓栓塞的安全性、有效性。
心房顫動(房顫)是臨床最常見的持續性心律失常,會增加血栓栓塞的風險。來源于左心耳的血栓是導緻房顫患者栓塞的主要原因。經皮左心耳封堵術作為一項新的預防血栓栓塞的技術,為存在高齣血風險而無法服用抗凝藥的房顫患者提供瞭更多的選擇。近年來的研究錶明左心耳封堵術可顯著降低卒中的髮生率。文中通過迴顧左心耳封堵術相關的研究,從而探討左心耳封堵術預防房顫血栓栓塞的安全性、有效性。
심방전동(방전)시림상최상견적지속성심률실상,회증가혈전전새적풍험。래원우좌심이적혈전시도치방전환자전새적주요원인。경피좌심이봉도술작위일항신적예방혈전전새적기술,위존재고출혈풍험이무법복용항응약적방전환자제공료경다적선택。근년래적연구표명좌심이봉도술가현저강저졸중적발생솔。문중통과회고좌심이봉도술상관적연구,종이탐토좌심이봉도술예방방전혈전전새적안전성、유효성。
Atrial fibrillation ( AF) is the most common sustained arrhythmia in clinical practice and it is associated with an in-creased thromboembolism risk , due mainly to embolism from the left atrial appendage ( LAA) .Percutaneous left atrial appendage clo-sure ( PLAAC) provides a valid alternative to oral anticoagulation ( OAC) mainly in patients who cannot tolerate this therapy due to a high bleeding risk .Recent studies showed PLAAC can substantially reduce stroke incidence .This article reviews the safety and efficacy of PLAAC preventing thromboembolism by retrospectively analyzing related studies of PLAAC .