经皮左心耳封堵的研究进展  

Research progress of percutaneous left atrial appendage clouser

作　　者：杨婧[1] 谢瑞芹 Yang Jing;Xic Ruiqin(Department of Cardiogogy,the Second Hospital of Hebei Medicag University and Institute of Cardiowascugar Disease of Hebei Prowince,Skijiazkuang 050000,Ckin)

机构地区：[1]河北医科大学第二医院河北省心血管病研究所心内科,河北石家庄050000

出　　处：《临床荟萃》2018年第9期757-760,共4页Clinical Focus

摘　　要：心房颤动(房颤)在人群中的发病率逐年升高,成为临床中最常见的心律失常之一。脑栓塞是房颤最主要的并发症。抗凝治疗仍然是预防房颤脑卒中的主要手段,但无论是华法林还是新型抗凝药都有一定的局限性,存在相关的风险及禁忌,且依从性差。鉴于非瓣膜病性房颤患者90%以上的血栓来源于左心耳(LAA),故对于一些栓塞风险高的房颤患者,经皮左心耳封堵术已成为长期华法林替代治疗以降低新发脑卒中风险的另一选择。The atrial fibrillation （AF） with incrcasing annual incidcncc has become onc of the most common arrhythmia in clinical practicc, with ccrcbral cmbolism bcing its major complication. Although anticoagulant thcrapy is still thc principal mcans of prcvcntion of ccrcbral apoplcxy, both warfarin and othcr ncw anticoagulant drugs have somc limitations and arc oftcn contraindicatcd or undcrutilized. Givcn that thcleft atrialappcndagc （LAA） has provcd as thc pcrcutancous LAA closurc is becoming a new choicc of replacing

关 键 词：心房颤动 脑栓塞 左心耳封堵 

分 类 号：R541.7[医药卫生—心血管疾病]