The Left Atrial Appendage, Including LAA Occlusion Devices Line Watchman, Amulet, and Lariat

被引：7

作者：

Deegan, Robert ^{[1
]}

Ellis, Christopher R. ^{[1
]}

Bennett, Jeremy M. ^{[1
]}

机构：

[1] Vanderbilt Univ, Med Ctr, Nashville, TN 37232 USA

来源：

SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2019年 / 23卷 / 01期

关键词：

transesophageal echocardiography; stroke; atrial fibrillation; left atrial appendage; anticoagulation; ANTAGONIST ORAL ANTICOAGULANTS; FIBRILLATION PATIENTS; CARDIAC-SURGERY; RISK-FACTORS; STROKE; CLOSURE; THROMBUS; OUTCOMES; ECHOCARDIOGRAPHY; PREVENTION;

D O I：

10.1177/1089253218789159

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Atrial fibrillation is a very common arrhythmia whose prevalence is expected to increase significantly as the population ages. The associated stroke risk is a major cause of morbidity and mortality. Stroke prevention by anticoagulation carries its own risks, leading to the search for alternative strategies. Multiple techniques have been developed to exclude the left atrial appendage (the main source of thromboembolism in atrial fibrillation) from the circulation. Such techniques offer the hope of stroke prevention without the risks of anticoagulation. This article describes the percutaneous approaches being currently performed in the United States. Particular emphasis is placed on the use of transesophageal echocardiography to guide these procedures.

引用

页码：70 / 87

页数：18

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