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左心耳封堵术常见并发症及其防治

Common Complications of Left Atrial Appendage Closure and Its Prevention and Treatment

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【作者】 李亚会黄从新

【Author】 LI Yahui;HUANG Congxin;Department of Cardiology,Renmin Hospital of Wuhan University;Cardiovascular Research Institute,Wuhan University,Hubei Key Laboratory of Cardiology;

【通讯作者】 黄从新;

【机构】 武汉大学人民医院心血管内科武汉大学心血管病研究所心血管病湖北省重点实验室

【摘要】 对于不适合长期口服抗凝血药治疗的心房颤动患者,左心耳封堵术已成为预防脑卒中的替代策略。左心耳封堵术相关主要手术并发症在实践中相对较少(1%~2%),但一旦发生会造成一定的伤残率和死亡率,所以左心耳封堵术术者必须对以下潜在的并发症有充分的了解,并对其做好相应的预防及处理措施。现就左心耳封堵术相关主要手术并发症及其防治做一综述,旨在为临床诊疗提供参考。

【Abstract】 Left atrial appendage closure( LAAC) has emerged as an alternative strategy for stroke prevention in patients with atrial fibrillation who are poor candidates for long-term oral anticoagulants. The main surgical complications related to LAAC are relatively few in practice( 1% ~ 2%),but once they occur,there will be a certain rate of disability and mortality. Therefore,LAAC surgeons must have a full understanding of the following potential complications,and take corresponding prevention and treatment measures. In this paper,the main surgical complications related to LAAC and their prevention and treatment are reviewed in order to provide reference for clinical diagnosis and treatment.

【基金】 湖北省技术创新专项(2016ACA153)
  • 【文献出处】 心血管病学进展 ,Advances in Cardiovascular Diseases , 编辑部邮箱 ,2021年05期
  • 【分类号】R764.9
  • 【被引频次】5
  • 【下载频次】442
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