Intracardiac Echocardiography-guided Left Atrial Appendage Occlusion

被引：0
作者：
Diaz, Juan Carlos [1 ,6 ]
Duque, Mauricio [2 ]
Marin, Jorge [3 ]
Aristizabal, Julian [2 ]
Nino, Cesar [4 ]
Bastidas, Oriana [4 ]
Matos, Carlos [5 ]
Hoyos, Carolina [5 ]
Hincapie, Daniela [5 ]
Romero, Jorge E. [5 ]
机构：
[1] Univ CES Sch Med, Cardiac Arrhythmia & Electrophysiol Serv, Clin Las Vegas, Medellin, Colombia
[2] Hosp San Vicente Fdn, Cardiac Arrhythmia & Electrophysiol Serv, Rionegro, Colombia
[3] Clin Las Americas, Cardiac Arrhythmia & Electrophysiol Serv, Medellin, Colombia
[4] Hosp Pablo Tobon Uribe, Cardiac Arrhythmia & Electrophysiol Serv, Medellin, Colombia
[5] Harvard Med Sch, Brigham & Womens Hosp, Cardiac Arrhythmia Serv, Boston, MA USA
[6] Clin Las Vegas, Cl 2 Sur 46-55, Medellin, Colombia
来源：
ARRHYTHMIA & ELECTROPHYSIOLOGY REVIEW | 2024年 / 13卷
关键词：
Left atrial appendage occlusion; atrial fibrillation; transoesophageal echocardiography; intracardiac echocardiography; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; GLOBAL BURDEN; RISK-FACTORS; CLOSURE; FIBRILLATION; EPIDEMIOLOGY; GUIDANCE; SAFETY; CHA(2)DS(2)-VASC; MANAGEMENT;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Left atrial appendage occlusion (LAAO) is a suitable alternative to oral anticoagulant therapy to prevent stroke in patients with AF. Most procedures are performed under transoesophageal echocardiography (TOE) guidance, which facilitates transseptal puncture, reduces the risk of procedurerelated complications and provides an additional method for device selection and real-time monitoring during device deployment. However, TOE has significant shortcomings, including the need for general anaesthesia/deep sedation as well as a significant risk of procedure-related adverse events. More recently, intracardiac echocardiography has been proposed as an alternative to TOE guidance during LAAO procedures. In this review, we summarise the available evidence as well as providing a step-by-step approach for intracardiac echocardiography-guided LAAO.
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收藏
页数：7
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