韦娟, 何贵新, 秦伟彬, 玉黎燕, 肖婷, 甲子永. 左心耳封堵器在非瓣膜性心房颤动患者中应用新进展[J]. 心脏杂志, 2021, 33(6): 670-673, 681. DOI: 10.12125/j.chj.202011051
    引用本文: 韦娟, 何贵新, 秦伟彬, 玉黎燕, 肖婷, 甲子永. 左心耳封堵器在非瓣膜性心房颤动患者中应用新进展[J]. 心脏杂志, 2021, 33(6): 670-673, 681. DOI: 10.12125/j.chj.202011051
    Juan WEI, Gui-xin HE, Wei-bin QIN, Li-yan YU, Ting XIAO, Zi-yong JIA. New progress in application of left atrial appendage occlusion device in patients with nonvalvular atrial fibrillation[J]. Chinese Heart Journal, 2021, 33(6): 670-673, 681. DOI: 10.12125/j.chj.202011051
    Citation: Juan WEI, Gui-xin HE, Wei-bin QIN, Li-yan YU, Ting XIAO, Zi-yong JIA. New progress in application of left atrial appendage occlusion device in patients with nonvalvular atrial fibrillation[J]. Chinese Heart Journal, 2021, 33(6): 670-673, 681. DOI: 10.12125/j.chj.202011051

    左心耳封堵器在非瓣膜性心房颤动患者中应用新进展

    New progress in application of left atrial appendage occlusion device in patients with nonvalvular atrial fibrillation

    • 摘要: 心房颤动(AF)是最常见、最普遍的心律失常,被称为21世纪的心血管流行病,目前没有治愈AF的方法。AF的最大风险是血栓形成并脱落,造成人体重要部位,特别是脑部血管的堵塞,引发脑卒中。缺血性脑卒中是AF的主要严重并发症,与其他类型的脑卒中相比,心源性脑卒中发病更急、瘫痪的程度更重、住院治疗的周期更长、复发率和病死率更高,造成患者生活质量差,经济负担重。研究表明90 %以上的非瓣膜性心房颤动(NVAF)患者缺血性脑卒中的栓子来源于左心耳。随着现代生物医学技术的创新发展,经皮左心耳封堵术的获益得到肯定,作为一种可替代的,特别是对于不适合口服抗凝药物治疗患者有了非药物性介入的治疗方法。本文对左心耳封堵术在AF的现代化应用进行阐述,详细介绍用左心耳封堵器的发展、国内外各类封堵器的优劣及其创新应用,为AF的临床治疗选择提供科学依据,为推动AF患者治疗提供参考。

       

      Abstract: Atrial fibrillation is the most common arrhythmia, known as the cardiovascular epidemic of the 21st century. Currently, there is no cure for atrial fibrillation. The biggest risk of atrial fibrillation is the form and break-off of a blood clot, causing a blockage of blood vessels in important parts of the body, particularly in the brain, leading to stroke. Ischemic stroke is the main serious complication of atrial fibrillation. Compared with other types of stroke, cardiac stroke has more acute onset, more severe degree of paralysis, a longer period of hospitalization and higher recurrence rate and fatality rate, resulting in poor quality of life and heavy economic burden of patients. Studies have shown that over 90% of the ischemic stroke emboli in patients with non-valvular atrial fibrillation originate from the left atrial appendage. With the innovative development of modern biomedical technology, the benefits of percutaneous left atrial appendage occlusion have been recognized as an alternative, especially when non-pharmacological interventions are available for patients who are not suitable for oral anticoagulant therapy. In this paper, the modern application of left atrial appendage occlusion in atrial fibrillation was elaborated and the development and innovative application of left atrial appendage occlusion device was introduced in detail, to provide a scientific basis for the selection of clinical treatment of atrial fibrillation and areference for promoting the treatment of patients with atrial fibrillation.

       

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