Nonthrombogenic Roles of the Left Atrial Appendage JACC Review Topic of the Week

被引:15
作者
Alkhouli, Mohamad [1 ,6 ]
Di Biase, Luigi [2 ]
Natale, Andrea [3 ]
Rihal, Charanjit S. [1 ]
Holmes, David R. [1 ]
Asirvatham, Samuel [1 ]
Bartus, Krzysztof [4 ]
Lakkireddy, Dhanunjaya [5 ]
Friedman, Paul A. [1 ]
机构
[1] Mayo Clin, Sch Med, Dept Cardiol, Rochester, MN 55905 USA
[2] Albert Einstein Coll Med, Montefiore Einstein Ctr Heart & Vasc Care, Montefiore Med Ctr, Bronx, NY USA
[3] Texas Cardiac Arrhythmia Inst, St Davids Med Ctr, Austin, TX USA
[4] Jagiellonian Univ, John Paul Hosp, Med Coll, Dept Cardiovasc Surg & Transplantol, Krakow, Poland
[5] Kansas City Heart Rhythm Inst, Overland Pk, KS USA
[6] Mayo Clin, Dept Cardiovasc Med, 200 First St SW, Rochester, MN 55905 USA
关键词
KEY WORDS atrial fibrillation; hemodynamics; left atrial appendage; progenitor cells; ELECTRICAL ISOLATION; STEM-CELLS; EPICARDIAL TRANSPLANTATION; ACCESSORY APPENDAGES; NATRIURETIC-FACTOR; CATHETER ABLATION; FIBRILLATION; CLOSURE; SUPPORT; STROKE;
D O I
10.1016/j.jacc.2023.01.017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The atrial appendage (LAA) is a well-established source of cardioembolism in patients with atrial fibrillation. Therefore, research involving the LAA has largely focused on its thrombogenic attribute and the utility of its exclusion in stroke prevention. However, recent studies have highlighted several novel functions of the LAA that may have important therapeutic implications. In this paper, we provide a concise overview of the LAA anatomy and summarize the emerging data on its nonthrombogenic roles.(c) 2023 by the American College of Cardiology Foundation.
引用
收藏
页码:1063 / 1075
页数:13
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