摘要
目的 分析采用经食管超声心动图(TEE)评估下左心耳封堵术效果及安全性。方法 对徐州市中心医院2020年10月~2022年12月行射频消融与左心耳闭合一站式手术的心房颤动患者80例临床资料进行分析。患者均在TEE检查下行左心耳封堵术,术前行TEE评估,观测患者检查项目有关参数,并对检测过程中的安全性进行记录。结果 80例手术患者采用Wahchman封堵器进行手术者48例(60.00%)、采用LAmberTM封堵器32例(40.00%)。采用两种封堵器进行手术患者左心耳入口直径45°、90°、135°左心耳长径45°、90°、135°指标参数与数字剪影血管造影测得的封堵距离均较为接近(P<0.05)。结论 经食管超声心动图在行左心耳封堵术治疗的心房颤动患者中具有较高的应用价值,能够准确测定左心耳入口直径、左心耳长径,临床并发症也相对较少。值得临床推广应用。
Objective To investigare the efficacy and safety of left atrial appendage closure guided by ransesophageal echocardiography(TEE).Methods An total of 80 patients with atrial fibrillation who underwent one-stop radiofrequency ablation and left atrial appendage closure surgery at Xuzhou Central Hospital from October 2020 to December 2022 were inrolled.All the patients underwent left atrial appendage occlusion surgery under TEE.Preoperative TEE evaluation was performed to observe relevant parameters of the patient’s examination items,and the safety during the testing process was recorded.Results Out of 80 surgical patients,48(60.00%)underwent Wahchman occluder and 32(40.00%)underwent LAmberTM occluder.Two types of occluders were used for the surgery;the left atrial appendage entrance diameter was 45°,90°,and 135°;the left atrial appendage length diameter was 45°,90°,and 135°;and the occlusion distance was relatively close to that measured by digital silhouette angiography(P<0.05).Conclusion Transesophageal echocardiography has high application value in the left atrial appendage occlusion surgery for patients with atrial fibrillation.It can accurately measure the left atrial appendage entrance diameter and left atrial appendage length diameter with relatively few clinical complications.It is worth promoting and applying clinically.
作者
尹然
吕楠
YIN Ran;LYU Nan(Ultrasound Department of Xuzhou Central Hospital,Xuzhou 221000,China)
出处
《中国心血管病研究》
CAS
2024年第9期809-813,共5页
Chinese Journal of Cardiovascular Research
基金
彭城英才-医学青年后备人才培养项目(XWRCHT20220025)。
关键词
左心耳封堵术
术前检查
经食道超声心动图
安全性
Left atrial appendage occlusion surgery
Preoperative examination
Transesophageal echocardiography
Security
