[1]毛晓波,王　妍,易桂文.房间隔穿刺SL1鞘轴向对左心耳封堵术效率的影响 [J].介入放射学杂志,2023,32(01):14-13.
　MAO Xiaobo,WANG Yan,YI Guiwen..The influence of the axial direction of SL1 sheath after atrial septal puncture on the surgical efficiency of left atrial appendage occluder implantation 430022, China[J].journal interventional radiology,2023,32(01):14-13.
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房间隔穿刺SL1鞘轴向对左心耳封堵术效率的影响 ()

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

卷:
32
期数:
2023年01
页码:
14-13
栏目:
心脏介入
出版日期:
2023-02-13

文章信息/Info

Title:
The influence of the axial direction of SL1 sheath after atrial septal puncture on the surgical efficiency of left atrial appendage occluder implantation 430022, China
作者:
毛晓波; 　王　妍; 　易桂文
Author(s):
MAO Xiaobo;  WANG Yan;  YI Guiwen.
Department of Cardiology, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province
关键词:
【关键词】心房颤动; 左心耳封堵术; 房间隔穿刺; 手术效率
文献标志码:
A
摘要:
【摘要】目的　分析经皮左心耳封堵器植入术中穿刺房间隔后SL1鞘轴向对手术效率的影响。方法　研究对象为2019年1月至2021年1月华中科技大学同济医学院附属协和医院因非瓣膜性房颤行Watchman左心耳封堵器植入的64例患者。回顾分析术中首次房间隔穿刺成功后SL1鞘的轴向。根据SL1鞘造影剂射流方向对准左心耳的部位，将所有患者分成：上缘组、中间组和下缘组，对各组数据进行比较。结果　64例患者均成功完成手术，上缘组手术时间、透视时长、放射线剂量明显小于中间组和下缘组，中间组的3项指标小于下缘组，下缘组手术和透视时间及放射剂量最大，差异均有统计学意义（P＜0.05）。结论　行Watchman左心耳封堵术中，穿刺房间隔后SL1鞘轴向对准左心耳上缘或中间部位能明显提高手术效率。

参考文献/References:

［1］ Reddy VY, Mobius-Winkler S, Miller MA, et al. Left atrial appendage closure with the Watchman device in patients with a contraindication for oral anticoagulation: the ASAP study （ASA Plavix Feasibility Study With Watchman Left Atrial Appendage Closure Technology）［J］. J Am CollCardiol, 2013, 61:2551-2556.
［2］　Reddy VY, Doshi SK, Kar S, et al. PREVAIL and PROTECT AF Investigators. 5-Year Outcomes After Left Atrial Appendage Closure: From the PREVAIL and PROTECT AF Trials［J］. J Am CollCardiol, 2017, 70:2964-2975.
［3］　Boersma LV, Ince H, Kische S, et al. Evaluating Real-World Clinical Outcomes in Atrial Fibrillation Patients Receiving the WATCHMAN Left Atrial Appendage Closure Technology: Final 2-Year Outcome Data of the EWOLUTION Trial Focusing on History of Stroke and Hemorrhage［J］. CircArrhythmElectrophysiol, 2019, 12: e006841.
［4］ Holmes DR Jr, Kar S, Price MJ, et al. Prospective randomized evaluation of the Watchman Left Atrial Appendage Closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial［J］. J Am CollCardiol, 2014, 64:1-12.
［5］　汤学超，白　元，张志钢，等. 左心耳封堵器临床研究进展［J］. 介入放射学杂志，2017，26:281-284.

备注/Memo

备注/Memo:
（收稿日期：2022-04-22）
（本文编辑：新　宇）　
更新日期/Last Update: 2023-02-13