经导管左心耳封堵术的临床应用进展  

Clinial Application Advances in Left Atrial Appendage Closure

作　　者：张莎[1] 储国俊 吴弘[1] 

机构地区：[1]第二军医大学附属长海医院心血管内科,上海200433

出　　处：《心血管病学进展》2015年第5期547-550,共4页Advances in Cardiovascular Diseases

摘　　要：心房颤动是最常见的心律失常之一,是缺血性卒中独立的危险因素。心房颤动的治疗策略是消除心房颤动和预防脑卒中,包括药物复律、射频消融、口服抗凝药、外科切除或结扎左心耳和经导管左心耳封堵术。近20年来,左心耳封堵术在预防心房颤动相关性脑卒中方面成为有效的治疗手段,现就其临床应用进行综述。Atrial fibrillation（AF） which is an independent risk factor for ischemic stroke, is one of the most common arrhythmias. The treatment objectives in patients with AF contain eliminating AF and preventing stroke. Methods include pharmacological cardioversion, radiofrequency ablation, oral anticoagulation, left atrial appendage closure, surgical removal or ligation of left atrial appendage and so on. In the past 2 decades, left atrial appendage closure for stroke prevention in patients with AF has grown into an effective treatment therapy. This paper reviews the clinical advances in the left atrial appendage closure.

关 键 词：心房颤动 左心耳 缺血性卒中 左心耳封堵术 

分 类 号：R541.75[医药卫生—心血管疾病]