[1]赵志宏,王赛华,罗 俊,等.左心耳封堵联合二尖瓣球囊扩张治疗非风湿性二尖瓣狭窄伴心房颤动[J].介入放射学杂志,2022,31(03):285-289.
　ZHAO Zhihong,WANG Saihua,LUO Jun,et al.Left atrial appendage occlusion combined with percutaneous balloon mitral valvuloplasty for non-rheumatic mitral stenosis with atrial fibrillation[J].journal interventional radiology,2022,31(03):285-289.
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左心耳封堵联合二尖瓣球囊扩张治疗非风湿性二尖瓣狭窄伴心房颤动()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年03
页码:
285-289
栏目:
临床研究
出版日期:
2022-03-25

文章信息/Info

Title:
Left atrial appendage occlusion combined with percutaneous balloon mitral valvuloplasty for non-rheumatic mitral stenosis with atrial fibrillation
作者:
赵志宏;  王赛华;  罗 俊;  武英彪;  王 菲;  朱 茜;  方 明;  张小刚;  郇 强;  田 蓓;  顾 薇;  朱珞宁;  宁忠平
Author(s):
ZHAO Zhihong;  WANG Saihua;  LUO Jun;  WU Yingbiao;  WANG Fei;  ZHU Qian;  FANG Ming;  ZHANG Xiaogang;  HUAN Qiang;  TIAN Bei;  GU Wei;  ZHU Luoning;  NING Zhongping.
Department of Cardiology, Affiliated Zhoupu Hospital, Shanghai University of Medicine & Health Sciences, Shanghai 201318, China
关键词:
【关键词】 非风湿性二尖瓣狭窄;  心房颤动;  左心耳封堵;  二尖瓣球囊扩张术
文献标志码:
A
摘要:
【摘要】 目的 分析非风湿性二尖瓣狭窄伴心房颤动患者经皮左心耳封堵术和二尖瓣球囊扩张术(PBMV)临床特点。方法 入选2018 年1 月至2020 年10 月上海健康医学院附属周浦医院确诊的4例非风湿性二尖瓣狭窄伴心房颤动患者，给予左心耳封堵术及左心耳封堵联合PBMV术治疗，对患者临床表现、影像学特征及治疗预后进行分析。结果 4 例患者年龄57～70岁，超声心动图诊断为非风湿性中重度二尖瓣狭窄。左心房CTA及经食管超声心动图(TEE)评估左心房后，1例中度二尖瓣狭窄患者仅行左心耳封堵，3例在左心耳封堵同时行PBMV，其中1例左心耳远端血栓形成，术中应用脑保护装置。左心耳封堵影像学结果显示4例患者左心耳封堵均获成功，围手术期均未发生心脏压塞、恶性心律失常、急性心肌衰竭、严重二尖瓣反流等并发症。术后3个月复查TEE，无封堵器相关左心房血栓形成，随访6～12个月均无心脑血管事件发生，患者生活质量显著改善。结论 左心耳封堵联合PBMV治疗非风湿性二尖瓣中重度狭窄伴心房颤动患者安全可行，但需严格把握适应证。

参考文献/References:

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备注/Memo

备注/Memo:
（稿日期：2021- 03-13）
（本文编辑：边 佶）
更新日期/Last Update: 2022-03-17