[1]张小刚,武英彪,罗 俊,等.Laager与Watchman左心耳封堵器临床疗效对比[J].介入放射学杂志,2021,30(03):230-234.
 ZHANG Xiaogang,WU Yingbiao,LUO Jun,et al.Laager occluder versus Watchman occluder for left atrial appendage closure: comparison of the clinical efficacy[J].journal interventional radiology,2021,30(03):230-234.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年03
页码:
230-234
栏目:
心脏介入
出版日期:
2021-03-29

文章信息/Info

Title:
Laager occluder versus Watchman occluder for left atrial appendage closure: comparison of the clinical efficacy
作者:
张小刚 武英彪 罗 俊 丛新鹏 宁忠平
Author(s):
ZHANG Xiaogang WU Yingbiao LUO Jun CONG Xingpeng NING Zhongping.
Department of Cardiology, Affiliated Zhoupu Hospital, Shanghai University of Medicine & Health Sciences, Shanghai 201318, China
关键词:
【关键词】 心房颤动 经皮左心耳封堵术 Laager封堵器 Watchman封堵器 对比 脑梗死预防
文献标志码:
A
摘要:
【摘要】 目的 对比经皮左心耳封堵术中Laager封堵器与Watchman封堵器围手术期安全性和近期临床疗效。 方法 入选2018年1月至2019年1月在上海市周浦医院接受全身麻醉下经皮左心耳封堵术治疗的76例非瓣膜性心房颤动(房颤)患者,采集患者基线、围手术期、术后45 d、术后12个月经食管超声心动图(TEE)及术后12个月临床事件资料,通过倾向值匹配进行统计学分析。结果 连续76例患者中16例植入Laager封堵器,60例植入Watchman封堵器。1∶1倾向值匹配后,Laager封堵器组、Watchman封堵器组均为16例,年龄分别为(68.5±7.7)岁、(71.1±6.7)岁,房颤血栓危险度评分(CHA2DS2-VASc)分别为4.5±1.3、4.7±1.6,抗凝治疗出血风险评估评分(HAS-BLED)均为3.1±0.7,差异均无统计学意义(P>0.05)。76患者封堵器植入均获成功。倾向值匹配后Laager封堵器组、Watchman封堵器组患者围手术期并发症发生率均为6.3%(1/16),临床复合终点发生率分别为25.0%(4/16)、18.8%(3/16),差异无统计学意义(P>0.05),术后12个月患者生存分析无差异。结论 Laager左心耳封堵在器械植入成功率、围手术期安全性、临床有效性方面与Watchman封堵器对比无差异。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2020-07-20)
(本文编辑:边 佶)
更新日期/Last Update: 2021-03-24