Morphological and functional assessment of the left atrial appendage in daily practice: a comprehensive approach using basic and advanced echocardiography with practical tips

被引：1

作者：

Ashraf M. Anwar ^{[1
]}

机构：

[1] Department of Cardiology, King Fahad Armed Forces Hospital, Jeddah

[2] Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo

来源：

Journal of Cardiovascular Imaging | / 32卷 / 1期

关键词：

Daily practice; Echocardiographic modalities; Functional assessment; Left atrial appendage;

D O I：

10.1186/s44348-024-00017-2

中图分类号：

学科分类号：

摘要：

Cardioembolic stroke is the most serious and life-threatening complication of atrial fibrillation (AF), with an associated mortality up to 30% at 12 months. Approximately 47% of thrombi in valvular AF and 91% of thrombi in nonvalvular AF are localized in the left atrial appendage (LAA). Therefore, identification or exclusion of LAA thrombi is critical in many clinical situations. It is essential to assess LAA morphology and function using imaging modalities (particularly echocardiography) before, during, and after interventional procedures such as AF ablation and LAA occlusion. This review article describes the anatomical, physiological, and pathological background of the LAA, followed by an assessment of different echocardiographic modalities. Many practical points are included to improve the diagnostic accuracy and to minimize errors during image acquisition and interpretation. In each clinical scenario where LAA is the crucial target, specific and essential information and parameters are collected. © The Author(s) 2024.

引用

共 68 条

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